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Condor Earth Technologies Inc. <br /> CHAIN-0E-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard 88 Frank West Circle,Suite I <br /> P.O. Box 3905 Suite G Stockton, CA 95206 <br /> N° 4434 Sonora, California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 209-532-0773 (fax) 209-668-9257 (Fax) condor@condorstockton.com(e-= <br /> SHIPPED TO: SEND RESULTS TO: <br /> NAME: ltj(-g1 VC'r7�F <br /> OFFICE: _ SM-0C-A--'r'!AJ <br /> APLEASE FAX RESULTS: PROJECT: -. b�Cizj'3g6-57 L <br /> PROJECT NO. ✓ Verification <br /> 2.S � NO. S <br /> SAMPLED BY: Mt4,4 } � AACY �ve� <br /> of <br /> (Signature tain- Q� q <br /> Date Time Sample ID ers REMARKS : MISC. <br /> s ,2,11 3'!F 3z�- s-�- s z� �.x ,-- YJXX I 1 1 lav + ;'n <br /> Relinquished By: ._ Date Time: Received By: Date: Time: <br /> (Si nature) L —' 2.11/4 T— 6► (Signature) 0(69 V oil t1<i'- <br /> Relinquished By: Da e: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (5i nature) _ (Signature) <br /> 01-iinal-5ei�l , , Ygllow-Fil , p ntr�Log „yk , <br />