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•. 1 <br /> 0 Condc* Earth Technologies, Inc. M <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane <br /> 188 Frank West Circle, Suite I <br /> PO Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> N! 6698 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth corn(e-mail) condor@condorstockton com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO <br /> NAME J e it/ ` lc r-t-- <br /> 2�.� _.._. OFFICE Iii. <br /> PLEASE FAX RESULTS PROJECT C-r ter,'All c__ rt 7 A� e&et— <br /> PROJECT NO i <br /> 1707L <br /> NO ✓ Verification <br /> SAMPLED B I of <br /> (Signature con- <br /> tain- e' <br /> Date Time Sample ID ers REMARKS MISC <br /> j oS l S a � 7076-Adel" l� s3 x <br /> 3 I o5 15' 3 5 170 7c - ;� �G� r3 s 3 X ���►r T� 7— <br /> 17 c- <br /> 3 1105 is L <br /> f 0 <br /> O. S <br /> T-3 F e S L <br /> r <br /> Relinquished <br /> Dat Time Received By Dat Time <br /> (Signatur 3 JS ,`� (Signature) Q �Relinquished B <br /> Y Date Time Received By Dare Time <br /> (Signature) <br /> (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Si nature) <br /> (Signature) <br /> OriRirial-Send i Yellow-File P1nL--1 no Rnnle <br />