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Condo*Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY STODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I 1 <br /> P.O. Box 3905 1 Sonora California 95370 Stockton CA 95206 <br /> N! 6270 2 9-532-0361 209-234-05I8 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> .s}gra d q-cl 7-A !SHIPPED TO: SEND RESULTS TO: <br /> 411/ 0/7 L-g _ s NAME: L-cc �orsC <br /> c=� 4'_—A OFFICE: -kac k -f-<r, <br /> ❑ PLEASE FAX RESULTS: d PROJECT: 2 oye 7Y <br /> PR0JECT NO. 3 ��/ J Verification <br /> NO. <br /> SAMPLED BY: of v <br /> // <br /> con- <br /> tain- <br /> (Signature) e S con- <br /> tain- Q` <br /> Date Time Sample ID ers REMARKS : MISC. <br /> 11131103 if <br /> * g ,'n clt,cl cs <br /> 17/<--) -,,,w5 - >rz 3 0 - TL- <br /> 165C) —AWI - r2 BTA D r - <br /> �, <br /> 1 407 �' w _ i o 1 2-vca GD4 <br /> 140'P 37W- ,164- <br /> 3 <br /> 7 - 64-W- rtw0o- 03 <br /> 1$ O3 <br /> 15��0 7V--. F14/1- z 1 03 <br /> Relinquished By: Date: Time: Received ByW'WA"� <br /> Date: Time: <br /> (Signature) 'Vi,µ. L✓ S ) Z p (Signature) HL— i Q: <br /> Relinquished By: Date: Time: Received By: Date: Time. <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book r <br />