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GeoAnalytical Laboratories, Inc.CD <br />1405 Kansas Ave., Suite A Phone (209) 572-0900 <br />Modesto. CA 95351 Fax 1t(209) 572-0916 <br />CHAIN OF CUSTODY <br />l <br />Client �cc h /�v cr,lar.9 0' <br />Address gg� <br />,066 CMS. Zip <br />15620 <br />Phone <br />CC to: <br />PROJECT ID <br />siK� <br />Na. <br />0t <br />ANALYSIS <br />REMARKS <br />SAMPLE BY: (s' r <br />con - <br />tain- <br />am <br />se p <br />Sample ID <br />Date Time Oi5 � p <br />G.$ <br />Relinquis a si ature . <br />�e� <br />/tS-07 <br />Time <br />Re i ed by (s' ture): <br />Date <br />Time <br />/O•'O <br />Relinquishe by (signature): <br />Date <br />Time <br />Receiv by ( ature): <br />Date <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 <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: <br />Total Hours: 1/3 <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Mileage 5>9 <br />GwNi Gmpfk. (209) 52]-356] <br />