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R ' <br /> GeoAnalytical laboratories, Inc. %ftwl IMP <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 :1 <br /> CHAIN OF CUSTODY 3487 <br /> l!` <br /> U <br /> Client ��"''��� Phone C <br /> Address CC to: <br /> Zip <br /> C" <br /> PROJECT ID ANALYSIS O <br /> / No. (� <br /> CS7C of 0 ` Q <br /> SAMPLED BY: (signature) tan- <br /> ers REMARKS <br /> sample <br /> hype Sampl•ID <br /> Date Time W- <br /> 4d'o,- I <br /> e <br /> zyo rL2, <br /> Relinquished by(signature): Date Time Received by ur JAZ Time <br /> R fished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Flours: Start:1,pit? Finish:2-.1yt? Total Hours: Z fj S <br /> Mileage Z®s-f j- I a!9 L Approved By <br /> Garali Graphics(209)527.9687 <br />