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GeoAnalytical Laboratories, Inc. CD <br />1031 Kansas Ave., Suite C Phone (209) 572-0900 $ <br />Modesto, California 95351 Fax #/(209) 572 0916 <br />CHAIN OF CUSTODY 09289 N) <br />Client �Ld Phone ) <br />� <br />CC F� <br />AddressA7 <br />Zip 6 <br />PROJECT ID <br />SAMPLED BY: (signatu e) <br />�i <br />samea <br />Date Time Grob c P, <br />Sample ID <br />ANALYSIS <br />con - <br />tain- ars` <br />REMARKS <br />l Z< <br />X <br />�C <br />Ev.) <br />-7,A ea - <br />0 TZL:777-7 I 2 <br />s -rt ICK <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />/� ' I 1 <br />Start: % ,db Finish:3 ``t�Total Hours: G S <br />Driving Time: <br />Start: %�-(sFinish: <br />Total Hours: t L <br />�.11N1� <br />Mileage �� Approved By lAl <br />It <br />ah <br />