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971 <br /> Geofogicaf Technics Inc. <br /> 2741 T4mrRgad <br /> Modesto,Calijmnia 95351 <br /> (209)538-6424/'at*538.5852 <br /> Pro�t Client/Project Name ` y Laboratory Name& Address <br /> LJ li /t/C ( �rJn[�1'lin ('/�/r.'� Cf C, 1 y� �1 �j . V � •;�{, <br /> Site Address <br /> C1u <br /> Sampled by: (signature),-- o <br /> Date Sample I.D. z Remarks: <br /> Relinquished : (signature) Pate/Time Received by: (signature) PLEASE RETURN SAMPLE CONTAINERS Remarks: <br /> Relinquished by: (signature) a e/Time RAj <br /> eived by: <br /> relinquished by: (signature) Date/Time Received by: (signature) <br /> , I <br /> s v:tlCnr •r�ivrs� guo� (;iict $��I i tBCtL (ynno In <br /> �t4'•• 1J• <br />