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m m m M ■M � � � � � � � � � � � � � � <br /> CHAI -OF-CUSTODY <br /> CondorGarth Technologies, Inc. • <br /> Ll 21663 Bnan Lane i 125 N Golden State Blvd,Ste H Lj Agra Environmental 1100 C Airport Blvd <br /> NQ�)3 L3 5 4 P O Box 3905 P O Box 3448 5651 N Pershing Ave C 3 P O Box 30035 <br /> 5onont,California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola,Florida 32503 <br /> (209)532-0361 (209)668-9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: t SEND RESULTS TO t / <br /> w <br /> e,41 NAME <br /> OFFICE <br /> BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS LABORATORY REPORT NUMBER' -Zt?�r� - <br /> PROJECT NO 5 <br /> �07 NO v �5<v <br /> SAMPLED BY coon- _V <br /> (Signature) tarn- 'r <br /> Date <br /> - <br /> Date Time Sample ID ers Q, O REMARKS MISC <br /> MW (C- lbol 2- <br /> p� k ., <br /> I1 S o t x X c7 z'r1 <br /> OOH <br /> Relinquish.qd By Date Time Received By Dat 101 <br />'M (Signature) (Signa umj'----- <br /> ime Received By Date Time <br /> (Signature) ig —_�� -- - <br /> Relinquished Byk/1"Y_ <br /> f' Dat Time 1 J Received By Date Time <br /> (Signature) / a � � � L � 5 1/ (Signature) <br /> Original-Send Yellow-File Pink-Log Book GAROLI GRAPHICS 1209)527 3667 FORM J692 <br />