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Geofogicaf Technics <br /> 2601%vrrRoad 'EnvUvnnienfdCowdting Cpaialises <br /> Modesto,CR 95351 <br /> (209)538-7805 <br /> Project# P jest Name REMARKS <br /> -�;TFSI -i F; TRUC K t N vvATLY--SAMPLi-s <br /> �y <br /> Samplers: (si No <br /> of Q SCJ <br /> Date Sample I.D. Con- <br /> 3 <br /> "`1� 5 JJ. �� �IoL�( t 1'�`-Y tainersJICL- <br /> M -0J . 1 y. <br /> MW Z <br /> Mme _ <br /> 0 <br /> pERMRJSIEl7VICES <br /> i ' <br /> < Reliquis.. yz(signature}- Date/Time Received by: (signature) Remarks: �n/(/�L �,/�/�j ��� CC: <br /> y s r ' PLEASE RETURN SAMPLE TUBES <br /> Rel9quish by:(signature}' Date/Time Received by:(signature) <br /> L BILLING: �.. C/--Tom.. m t S <br /> Reliquished by:(signature) Date/Time Recieved For Laboratory by <br /> (signature) <br /> Geological Technics,2601 River Road,Modesto,CA 95351 (209)538-7805 <br />