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rth Technologies In �' <br /> Condo Ea c.g <br /> CHAIN-OIC-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard ;8Frank West Circle, Suite <br /> P.O. Box 3905 Suite G Stockton, CA 95206 <br /> `0 4221 Sonora, California 95370 Turlock,CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0538(fax) <br /> 209-532-0773 (fax) 209-668-9257 (fax) condot@condorstockton.com(e-mail) <br /> SHIPPED TO; SEND RESULTS TO: <br /> ��-- NAME: <br /> OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT:. ' <br /> PROJECT NO. J Verit"ication <br /> NO. 4� <br /> of <br /> SAMPLED Y: M�uFh�r- con- <br /> (Signature) r rVt tain- Q' <br /> REMARKS: MISC. <br /> Date Time Sample ID ers <br /> An <br /> i to U <br /> Q- 1 V =i . j -,� <br /> i 4o tJ p ti ' <br /> r My;G t - � - ' c1 Ila <br /> i tov , 01- v <br /> It <br /> i l I t - i Q - <br /> i � ` 1'V �i " 1 D te: - Time: <br /> Relinquished y Da e: Time: Received By: I 1� U A.- <br /> B � <br /> "` (Signature) .cam' U <br /> (Signature) ate: Time: <br /> Time: <br /> Relinquished By: ate: Received y: <br /> (Signature) <br /> (Signature) Date: Time: <br /> Relinquished By: Date: Time: Received By: <br /> (Signature) <br /> (Signature} <br /> Original-Send <br /> -Log Book <br /> Yellow-File Pink <br />