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Conc ,r Earth Tech"nologies, Inc! <br /> CHAIN-O&CUSTODY <br /> ❑ 2103 Brian Lane ❑ 1108 C Airport <br /> i 7 1125 N Golden State Blvd., Suite H rp Blvd <br /> t I I �}'J P.O. Box 3095 P.O. Box 3448 P.O, Boz 30035 <br /> Sonora, California 95370 Turlock, California 9538E Pensacola, Florida32503 <br /> (209) 532-0361 (209) 668-9234 <br /> FAX (209) 532-0773 <br /> FAX (209) 668-9248 (904)477-0454 <br /> FAX (904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: <br /> �� �►� >'cQ NAME: D.L d L M,cad'.e_ <br /> 3- k<.1-1,3-k s 4t-- OFFICE: - <br /> rrt�mtes & (—j A- 9535 / <br /> ❑ PLEASE FAX RESULTS: PROJECT: / <br /> PROJECT NO.IVS NO �cJ. ✓ Verification <br /> SAMPLED BY: Con- <br /> of �� � <br /> (Signature) twin- P a 4 <br /> Date Time Sample ID ers ,•�' t,� - � REMARKS : MISC. <br /> 5//7/931 /b35 1'159- A* - 13 � X X <br /> 5 y3 I638' IVSy- ?/'f - NS x X <br /> lb.y/ t ysQ - pl - E s �zr <br /> y3 IYs - Plj — 55 <br /> A'f - wS x u T'arDa <br /> fes- C9, <br /> Relinquished By: �J r Dat5: Time: Received By: <br /> (Signature) �(t/ s 9 3 ?Qi (Signature) <br /> Time: <br /> (Signature) <br /> Relinquished By: Date: Time: Received By: d' <br /> 5i nature <br /> ( g ) (Signature) bate: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book OAROLI GRAPHICS 1209)527.3W7 FOAM 1692 <br />