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f f t <br /> ;. �eoCo�tcaC�echnics . <br /> { <br /> E, 5601 Xiwi Road pistr.. <br /> 5 u94 CA 95351 <br /> = (zo9Js3a-Taos �; <br /> ` <br /> Project# Project Name REMARKS <br /> Samplers:(signature) NOof <br /> } {{ <br /> EteSample LD Con- <br /> !! / ti <br /> l 1 • t�j �� '1 j `Y tainers "..•"w'.�,,.. <br /> Reli wished s <br /> y:( natre� Date/Time+_ eceived by (signature) Remarks• �1���/�}`i]Fh/'��(�♦[y -�� `�f C CC: <br /> lKi� (/¢Q}�•L 4\tr / /�y }}rte ^/�� � �•T-`�1� _ • .[_%') �1'�� 1� `1.R� • . <br /> \I � 111�� 1 � I v { -_�� - •1 ' <br /> Rehquish, ed g <br /> b :(sinature) �- Date/Time- Receivey;(signature)d'b . <br /> PLEASE RETURN SAMPLE TUBES. <br /> BILLING <br /> Reliquished by:(signature) Date Recieved For Laboratory b � � �R�`t' <br /> /Time . ry y <br /> (signature) .. <br /> -f.Geological Technics,2601 River Road,Modesto,.CA 95351 (209)538-7805 <br />