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®r <br /> GeoAnalytical Laboratories, Inc. Lab Report # <br /> 1405 Kansas Avenue Phone(209)572-0900 N 0 1 5 7 3 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> Client: �_�Qi(_ CHAIN OF CUSTODY Fax: <br /> Address: To: <br /> Zip <br /> Project ID <br /> (Print Name) <br /> Sampled By <br /> (Signature) v <br /> Container u Q <br /> Q Lab ID# <br /> Sample type o <br /> Date Time Sample ID Type Size z <br /> Matrix <br /> Grah Comp <br /> Ve TK 1 W <br /> Remarks <br /> Re uishe (Signature) Date Time Re-eived by (Signature) Date Time <br /> '1 /�• 12 <br /> 7-d-I'lo //11 <br /> Relinq she (Signature) Date Time Received by (Signature) Date Time <br /> Relinquish by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> Site Time: Drivin <br /> Start: �� Finish: �D_l.� Total Hours: LIV/K�N Start: g iteA al. x2= '� �9 I Hours <br /> �3'. i/e �C <br /> Mileage _�� _/ k/Aproved BY4�� <br />