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Geofogicaf Technics <br /> 2601 fjwr Road �nowo► aualco►�sultine cpaiaGrrs <br /> M04SIO,CA 95351 <br /> PM)53a-7#o5 <br /> Project# Project Name REMARKS <br /> I�. I. STMWA�TS �COsi q <br /> Samplers: (signs re) /Vf f No �0 �' ' '"^ fir` <br /> of �• <br /> Date Sample I.D. -�-�,�/ Con- u <br /> �--� SI5S W. i �� �� t IV'�..y tainers <br /> 90 01-13.t.2 M-W. 2 <br /> . BLK• � t33`-��-o <br /> M.W, <br /> Ik 11 <br /> Q• 8 / 3300 <br /> / Z3o-4Reliq11 <br /> uis ed by:(signature) date/Time i y tore) Remarks I V�/>M�'" -'� CC: <br /> Reliquia y:(signature) to ime ived by:(signature) PLEASE RETURN SAMPLE TUBES <br /> BILLING: C—r=C>•TE-aJ , <br /> Rhliquished by:(signature) Date/Time Recieved for Laboratory <br /> (signature) <br /> Geological Technics,2601 River Roa4,Modesto,CA 95351 (209)538-7M <br />