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Condo ]Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY <br /> ❑ 21663 Brian Lane ❑ 188 Frank West Circle, Suite I <br /> N® 5189 P.O. Box 3905/Sonora, California 95370 Stockton,CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO: CI-- 3�8`8 <br /> NAME: <br /> OFFICE: Ar R 1�(Ib1 r S <br /> Mk-cYGt, CA 953q? <br /> f , PLEASE FAX RESULTS: PROJECT: � �� is�z, 5�c;v� �iFvt� lzsi <br /> PROJECT NO. o. ��5. �,p � ' <br /> fS �-,/ Verification <br /> � <br /> SAMPLED BY: <br /> (Signature) �'G -� �''�w con- <br /> tain- <br /> Date <br /> on-tain-Date Time Sample ID ers .� REMARKS : MISC. <br /> ✓ <br /> I/ZL 6� IC ZO �{�'�517`asp--ly -11z61J� 5 t� ✓ �f" �I ill nl(�c �8E <br /> clic �s <br /> t110 gO3S b--G9-15— �jZt; S v ✓ ✓ ��� <br /> 3/"zi7�o 210 4c.%. 0 -6P- 16 lu;Ids 5 ✓ s <br /> Relinquished By: /�% � "-- Date: Time: ReceivedBy Dat Time: <br /> (Signature) // ,� /"w (Signature) <br /> Relinquished By: Date: Time: Received By: D te: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />