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H K M INC_ <br /> EnvironrnentM Services & <br /> Ground Water Monitoring <br /> MARK HAYNES <br /> President <br /> 74 Jetapa Way - { <br /> Grange, CA 95329 (209)652-2240 I}} <br /> i <br /> Client <br /> Address <br /> Gt, .�f c� cti-�� ✓ �t CC to <br /> � <br /> Zip <br /> ANALYSIS <br /> P3�OJt=CT 0 N <br /> of <br /> con <br /> SAMPLED BY (signature) vein ' REMARKS <br /> erg <br /> Sam <br /> Sample It) <br /> Date Time Comp <br /> A <br /> f I <br /> - 4 <br /> J <br /> -i- C F Date -111110-1 <br /> Date Time ReColl a �g <br /> r <br /> Relinquls by(signet re/ <br /> Relinquisha 6Y�(si9Tature) Date Time Re eiv y (signature) <br /> Date Twin <br /> Relinquished by(signature) <br /> Date Time ecelvad by (signature) Date <br /> Relinquished by(signature) <br /> Data Time Received by (signature) Date Time <br /> Relinquished by (signature) <br /> Date Time Received by (signature) Dale Time <br /> Site Time Driving Time <br /> Start Finish Total Hours <br /> Start Finish Total flours <br /> Mileage <br /> Approved By <br /> I <br /> t <br />