Laserfiche WebLink
� ■ice � i i i i � � � � � � � � � � <br /> s s • <br /> GeologicafTechnics Inc. ego o � <br /> 27419 vmrRgad DEL-TECH—SVC <br /> Modato,Cafifmw 95351 <br /> (209)538 6424/yax#538 5852 <br /> P;'olect# EenPr lectN e � <br /> Q ��s' �y Laboratory Name&Address <br /> JF <br /> Site dress •� ��� s � <br /> Sampled by (signature ,V all/r Ar- Ve / er4 <br /> o � � U <br /> Date Sample I D Z Remarks <br /> 7:11--?2 Z <br /> SB-z zs �-2 r IllCOD <br /> 7-I -,K /f A-1 3 l?, <br /> 7-1q--4iV Al 3 2�,�-z r v v [ l60 <br /> Relulc�uashe b Date/Time Received by (signature) Remarks <br /> OX1,V en 4k-c /mac I&,i�e: NY 13,t= <br /> Rebnquished by (signature) Date/Time Received by (signature) € 4 <br /> Relinquished by (signature) D to/Tune Rece ved by (signature) <br /> 7/ �P <br /> i <br />