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GeoAnalytical laboratories, Inc. <br /> CD <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax !/(209) 572-0916 <br /> J <br /> V U <br /> CHAIN OF CUSTODY J <br /> Client S Phone <br /> I <br /> Address CC to: <br /> Zip <br /> PROJECT ID No. ANALYSIS <br /> &/ of CP <br /> con- <br /> SAMPLED BY: (sl' naturev' tain- <br /> _ REMARKS <br /> Sam <br /> typo Sample ID VY1 �� (�15 a W <br /> Date Time G„b Amo <br /> M—f441 1;7p e-✓i kG o S7 Y c_ -�,q9 <br /> 1l a t T X F x (' 17) <br /> ^. r <br /> 1' w <br /> a <br /> 5D i / L � I Y Y Y Y ? <br /> 95d / n l X <br /> Relinquished by(�ature� Date Time Received by(si%tial re. �ate Time <br /> Gjl � !�. <br /> Relinquished 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:G: O Finish: p/J 3o Total Hours: Start: Finish: ./Z r�v Total Hours/ L <br /> Mileage /I d *.p Approved By <br /> Garoh Graphics(209)5273667 <br /> t <br />