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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 2013 <br /> Client & �.rnu Phone <br /> Address CC to: SRa <br /> zip _ -E G' tCi2��C.iJ/1 <br /> h1E� Ap¢Es s <br /> PROJECT ID ANALYSIS <br /> (� q No. <br /> l irA -n- or <br /> �si naturel oon- <br /> . 9_—'— fain- <br /> ern �� / REMARKS <br /> samp e <br /> type Sample Location <br /> Date Time or" oma, <br /> 1.21 2:Lo 00e tt('190, t5 Y, X 22 <br /> to X ISt y x 2223 <br /> •.w �1t��h t" t �, 322'2.,3 <br /> 2"b z 'uen S"A?� 0 G 5' I -� 322233 <br /> 4 <br /> i <br /> t <br /> R n uis a b (sl nature): _ Date Time ece ed y(s' nat re): I Pat Time <br /> ((L o �i'Cto <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> I Relinquished by (signature): Date Time Received by(signature): Date Time <br /> I <br /> I <br /> Relinquished by(signature): Date Time Received by(signature): Lv Date Time <br /> Relinquished by(signature): Date Time Received by (signature): Date Time <br />! Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: (-Z;�b Finish: Total Hours: <br />