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PUBLIC HEALTH SERVICES <br /> ) SAN JOAQUIN COUNTY <br /> GeoAnalytical Laboratories, In : Fow�: ,. <br /> 1031 Kansas Ave. ELEANOR RATLIFF, R.E.H S. <br /> Modesto, California 95351 Senior Registered Environmental Health S ecialist <br /> Environmental P.O. Boz 2009 <br /> Health Division (445 N.Sano2, uin Street) <br /> T1y� CHAIN OF CUSTODY (209)468-0334 Stockton,C•lifomia 95201 <br /> Client ` 1 \.C��C P O k Phone zU ulo8 -033 c <br /> Address CC to: )_ )(?, G+ ll Kra 5 <br /> Zip J' t <br /> d-0. o0cl q$ 5prA Jet u+q <br /> �- Vcn kton , Ga 95;2V0� <br /> PROJECTID ANALYSIS <br /> 5� I —OU N <br /> o. <br /> of <br /> f <br /> SAMPLED BY: (si re an- / <br /> ers REMARKS <br /> st e <br /> type Sample I <br /> Date Time coma. <br /> 5 1 F- 2,600'3 <br /> I <br /> E <br /> S ! 00 <br /> Relinquished b re. Date Time Received by(signature): Date Time <br /> )s 3 1"/ <br /> Relinquished by (signature): Date Time Received by( nature): 7 Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> I <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: 1 Driving Time: <br /> Start: Finish: Total Hours: I Start: Fini : Tota ours: ' <br /> C <br /> Mileage Approved By <br />