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Geological Technics Inc. <br /> 2741vCrRoad <br /> MoRie(v, ,a'� ;: i!U w <br /> Modesto,Cafifonia 9535.1 <br /> (209)538 6424/'fax#538 5852 <br /> Project# Chent/Project Name Laboratory Name&Address <br /> Site Address <br /> Sampled by (signature) <br /> Date Sample I D Z a Remarksrx <br /> rg <br /> f <br /> i� <br /> I <br /> d <br /> Rehnquushedb (signature) Date/Time Received by (signa-ture) PLEASE RETURN SAMPLE CONTAINERS Remarks <br /> Jy <br /> Relinquished by--(signature) Date/Tune eceiyed by (signature) CC <br /> ' kf <br /> _. 1� 'J' <br /> , _, <br /> Relinquished by (signature) Date/Tune Received by (signature) <br /> i <br />