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GeoAnalytical -%..aboratories, Inc. wo <br />1405 Kansas Ave., Suite A Phone (209) 572-0900 <br />Modesto. CA 95351 Fax #(209) 572-0916 <br />/ CHAIN <br />OF/L <br />CUSTODY 6404 <br />Client Y"/ CC1 ,�.{ )/% / "� I J-_j6E /' -_ Phone__ <br />Address ---F-- r i m e <br />zip 9SZYu •?O..R0< 2fioy <br />3&13 - y5 d � /O �rO <br />SU2z <br />Gcdi fw <br />OJECT ID ! /� ANALYSIS <br />r S�rf,Qc j4et No. <br />/SCJ <br />of <br />SAMP BY: (s' ture) con- Chty <br />tain. <br />ers \ " REMARKS <br />amps �/ <br />Date Time p sample ID i <br />p Y <br />Relinquished by <br />Relinquished by (signature): <br />Relinquished <br />r <br />11 <br />Date, I Time L Reo48 by <br />Date I Time I Received by (signature): <br />Date Time <br />Date Time <br />Date I Time I Received by (signature): <br />Site Time: <br />Driving Time: <br />Stan: 1,•6;t2 Finish:ours: <br />1' 0 Total H 2 It'/%L I Start: 1�7-7- n Finish: Total <br />Mileage <br />1 `I Approved By <br />y <br />Garoh GOphiO (309) 52]3661 �! f I " I � <br />Da//t--e Time <br />GG,S <br />Time <br />Date Time <br />Date Time <br />Date Time <br />y,2. �Vjr�ir <br />