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Condgr Earth Technologies, Inc <br /> CHAI -OF-CUSTODY ❑ 21663 Brian Lane X 188 Frank West Circle, Suite' 403005 <br /> P O Box 3905 1 Sonora, California 95370 Stockton, CA 95206 — <br /> N° 5759 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) — aj <br /> info@condorearth com(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: Thr ll '1� '1"� SEND RESULTS TO <br /> r_XGe C�P,,•, NAME -57SC _ <br /> osc u r 1 A OFFICE. S K- on <br /> ❑ PLEASE FAX RESULTS PROJECT __C�7 c s PG L 5k <br /> PROJECT NO ✓ Verification <br /> 203 NO v5ti5 , <br /> SAMPLED BY °on_ l� <br /> (Signature) 7c�Mml 1,le//5 Cain- 4� <br /> �o <br /> Date Time Sample ID ers REMARKS MISC <br /> 03 N-3-5 2033- W1 - qAL03 <br /> 1135 2-03S- 4W2 <br /> ff <br /> oy3S 2-038- war— �D <br /> Igzs �-03$-- Aa5s- x W <br /> 1035' 203 — roc✓ — <br /> Relinquished By � � Date e Received By ��1(��� � Date Time <br /> (Signature) 71,O (Signature) <br /> Relinquished By [latef 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 <br />