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Geological Technics Inc. L. <br /> 2601!burr 9(pad <br /> M.4,w,California 95351 <br /> (209)538.642414 wC# 538.5852 <br /> Praject+#� Client/Project Name �S a Laboratory Name& Address <br /> Site Address j�i—OD <br /> Sampled by: (signature , G a R ❑ �� �p�3 1 <br /> 4 f• r <br /> Date Sample I.D. Z Remarks: <br /> sI Ice. <br /> r3 i S— 3z,�� <br /> -Lz, c;:� <br /> 31 S 3z .o <br /> R 's a ig ] r�Date/Time ive by: (signa I PLEASE RETURN SAMPLE CONTAINERS Remarks: <br /> �2, , —S&,TP <br /> Rekinquis ed by: (signature ate/Time ved by: (sin ) CC: <br /> Relinquished by. (s' azure) Date/Time Received by: (sigI)ature) <br />