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f-"- <br /> C7 r-7 r-7 1--p ice'"` r""� - 7 <br /> I Qchnws Inc. Page--L of <br /> 11017th Street <br /> ,....... . _ . :W,,...—Modesto,CA; Chaim of-riustoCN]/_,.-_- _: .4 <br /> (209)522-41.19 Fax 522-4227 � <br /> E-mail-geologicaltechnicsC@sbcglobal.net -, Analysis Requested Laboratory Name and Address: <br /> Project#: Client/Project Name: _i'(-r c..c) <br /> Site-Address: <br /> Purchase Order# <br /> Global ID No.: <br /> -r E }' <br /> _- 1-0 al-7 OOU _ -=- -� - ~ -- — �-- .r EDF__Report;� <br /> Sampled 5y:(print and.sign name) o 0 a Turnaround Time: S Standard <br /> �, -��. v o <br /> iV o _ = 1 day, 2 day, 5 day <br /> Date -Time. Field I.D. Sample I.D. z Remarks. <br /> f .11-30 -w _1 f W <br /> f <br /> Relinquished by: (signature Da Time: Received by. (signature} Date: Time: <br /> / <br /> Reish d by: (signatp , Date: Time: Rac ived by: (signature) Date:' Time: <br /> FAiinquished by: (sign�fure) Yate. Time: Received by: (signature) Date: Time: 1 <br /> Please return coolerlice chest to Geological Technics Inc, Rev.4/2004 <br />