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Cond 'Earth Technolo ies <br /> g , Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I � <br /> P.O. Box 3905 1 Sonora, California 95370 Stockton, CA 95206 <br /> N° 6803 209-532-0361 209-234-0518 <br /> 1 209-532-0773 (fax) 209-234-0538 (fax) <br /> DUGNN.V.22 info@condurearth.com (e-mail) condor@condorstockton.com(e- <br /> SHIPPED TO: eW J�- 1�1(),E( SEND RESULTS TO: J 1 <br /> NAME: <br /> CA — OFFICE: C_A <br /> PLEASE FAX RESULTS: �� PROJECT: 5C.54 <br /> PROJECT NO. <br /> 307—`f4 NO. ti�S~S- O` ✓ Verification <br /> SAMPLED BY: of <br /> (Signature) con- <br /> tam- <br /> Date Time Sample ID ers REMARKS : nt MISC. <br /> DI-� <br /> I �0+1��i <br /> rr rd b Jo:sa 3ozy-�w�-11C/� os �.��a �1T 7131ft 1,0E. 04110-*02 <br /> 1► is b : i <br /> 307-4 w 3--B 11D joy MTBE -rA PK6 1✓dL)a +- 42 Dia 4�(�011-03 <br /> D�-T�GT/D.cJ L m1 T o� <br /> Relinquished By: �' Date Ti e: Received By: <br /> (Signature) / of (Signature) Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: t Time, <br /> (Signature) (Signature) q, CJ tJ 10 <br /> Original-Send Yellow-File Pi -Log Book <br />