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i I <br /> s GeoAnalytical aboratories, Inc. <br /> 1031 Kansas Ave. �'` Phone (209) 572-0900 0 <br /> Modesto, California 95351Fax #(209) 572-0916 a <br /> zt <br /> CHAIN OF CUSTODY C-5796 <br /> lJ' <br /> Client ;i Phone 00 <br /> Address } <br /> i; CC to: <br /> 4 Zip <br /> a �6 <br /> PROJECT ID ANALYSIS � <br /> i No. <br /> r o! <br /> SAMP E BY: (sig lain. <br /> s REMARKS <br /> IM-L/10 Die <br /> samp s <br /> type Semple ID <br /> Date Time pre6 Comp <br /> J` } <br /> _X JC X k <br /> Gn L3± X 113 <br /> �1 <br /> i <br /> i <br /> �I <br /> !I r <br /> 'I <br /> 4 Relinquished at re): rem Received by(si r rZ <br /> Time <br /> Relinquished by(signature): to Time Received by(signature): ; Date Time <br /> Relinquished by(signature): V Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): I Date Time <br /> li# <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> h <br /> Site Time: Driving Time: it <br /> Start: Finish: Total Hours: Start: ni Total Hours: <br /> 1 !v <br /> Mileage ��t� Approved By <br /> i <br /> r%­601hlr..1MQ1 577.16A7 A AVA S IIP <br /> li <br />