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Geofogicaf Technics hic. <br /> 2601 Wiver!kpad <br /> Modesto,California 95351 <br /> (209)538.642419'ax# 538.5852 <br /> Project 9 Client/Project Name <br /> Laboratory Name& Address <br /> Site Address vhk <br /> 0 <br /> Sampled by. (signature). <br /> U h <br /> 0 <br /> 6 <br /> Date Sample J.D. z Remarks: <br /> s. <br /> Relinquished by:,(signature) Date/Time Received by: (signature) PLEASE RETURN SAMPLE CONTAINERS Remarks: <br /> Rel inquisl ied by: (signature) Date Time Received by: (signature) CC: f - i I,. <br /> Relinquished by: (signature) Dale/'I me Received by; (signature) <br />