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GeoAnalytical <br />1031 Kansas Ave., Suite C <br />Modesto, California 95351 <br />taL��l <br />Address <br />Laboratories, Inc. <br />CHAIN OF CUSTODY <br />Zip <br />Phone (209) 572-0900 <br />Fax #(209) 572-0916 <br />S 8 102 <br />�\ Phone <br />,Q ��C to: L.T. <br />(Y4S. N. Sh�l SG/�GaU(AI s`f� <br />�. P-0 go< 200? <br />SroCKr0W ,G4 05-ZOI-200? <br />PROJECT ID I <br />'�'�(o N Av2otzs� r. <br />s <br />of <br />ANALYSIS! <br />/ !p�/ <br />'\t v <br />!Q /� <br />REMARKS <br />—m- <br />PLED B c�Dature) <br />SAMie- <br />AO <br />am <br />sampe <br />a Sample to <br />Date Time er.n camp. <br />-_ <br />J <br />_ <br />/ <br />U 9AAA <br />Ell <br />I T,� IjA fax <br />45* <br />eIP2 <br />I <br />R wished by (signatur <br />L <br />I <br />Time <br />sig at e): <br />Date <br />Time <br />322 <br />Relinqui by (signature): <br />ate <br />Time <br />Received by gnature). <br />to <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date•Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start:/; U Finish:Z; 9u Total Hours: <br />U, % S <br />Driving Time: <br />Start/.,7,Z Finish3;I s <br />Total Hours: <br />Mileage 1-��7 <br />Gard) Grapaks (2W) 5273667 <br />Approved By��� 1 <br />01 <br />r <br />a <br />x <br />