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GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Ave., Suite A Phone (209) 572-0900 <br /> Modesto. CA 95351 Fax #(209) 572-0916 <br /> 16612 <br /> CHAIN OF CUSTODY <br /> J <br /> Client S_lvt o Phone <br /> Address CC to:kAg,(,+A4 L�'-T (hC•�XtCO 0 <br /> Zip SAN T04,0L t' I/ 61'5' . <br /> PROJECT ID G�( ANALYSIS fAKr't�1 flY�— }� b <br /> l 1 _ t // // k <br /> �C)V or, , J !E$ PeR M1l.T T'i Pf,tA <br /> SAMPL signature) tcann <br /> ars VJ REMARKS > <br /> samPe ON 5.71• <br /> Date Time Sample ID !L <br /> e� comp. j Pec MIt.�- <br /> 3 <•+ Z4SX 13- rdl- Nc / X XY <br /> ; 6 WC- 9 ; <br /> z.aj eK ' I <br /> ( ° 10, l <br /> G <br /> �- � (17z�l 71 <br /> S�-z 1 f��h�Uil CE <br /> ( snsr'p G10E & <br /> SP-Li ( ! ) o <br /> 7 r 1 <br /> s <br /> Relinquished by(signature): Date Timeaceived by(signatur Da Time <br /> Relinquished by(signature): Date Time Received by(signature): ate -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: IZ;,V Finish: [ S Total Hours: z5 Start: Finish• Total Hours: �, S <br /> Mileage 79 Approved By <br /> Garoli Graphics(209)52]386] <br />