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r��rs r rr rr �■■� r� rr � ■r ar rt rr� ar rr ai r� <br /> Geologicaf Technics Inc. ` =% <br /> 2741*Ver Road <br /> Modesto,Cafifm"95351 <br /> (209)538 6424ffax#538 5852 <br /> Protect# Client,/Pro)ect Name <br /> 25 <br /> Laboratory Name&Address <br /> Si Address t �- � �.'� <br /> 1a %' �'- r !' o �'� r r �i <br /> Sampled by (signature U,--,#" <br /> Date Sample I D Z s <br /> Remarks <br /> ? f7- <br /> e hvvlf <br /> All <br /> Wa 11 <br /> Rehnq,tushed by (signature) Da /Time R celvedby st ature) PLEASE RETURN SAMPLE CONTAINERS Remarks <br /> Relinquished by (signature) Date/Time Rece ved by ( iiggnddture) CC <br /> Lam-J Z7 c .fes. <br /> Relinquished by (signature) Date/Time Received by (signature) <br /> i <br />