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GeoAnalytical Laboratories, Inc. <br />1405 Kansas Ave., Suite A Phone (209) 572-0900 <br />Modesto. CA 95351 Fax #(209) 572-0916 <br />CHAIN OF CUSTODY <br />IC404 <br />Client _Y"/ 5 G/// Phone '(14 9 - 3 7 6 <br />Address ZA-S'r-r'ii;;,;I� CC to: 4& T/T/f% 90/6�7 <br />40di Zip 75SNO 7-00. &K 200x1 <br />34 -7 V 63 /49'10 W- Ke-ri*M14AJ ZAJ. Sr�c.C�.y, Cry <br />Sum /e, vEsK /s6 FiUdirZcwrr�t�.v��+L llwf #-4 <br />L oR'i , fr1 <br />QOJECT ID <br />!moi S ,ret <br />)1664.0 AD <br />No. <br />ANALYSIS <br />hW <br />, <br />REMARKS <br />SAMP BY: (s' lure) <br />mpe <br />Date Time sample aD <br />�,n,. <br />ers <br />%0 <br />/ <br />x <br />hwvw <br />o <br />- <br />& <br />!Ai C41G <br />G <br />r <br />Re n Whed (signature): <br />Date <br />Time <br />Fisleadd by (si ure): <br />Date <br />4LWTime <br />Time <br />Relinqui ed b Usignaturs): <br />Date <br />Time <br />Received by (signature): <br />Relinquished by <br />Date <br />Time <br />Re gnature): <br />Data <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Recelv urs): <br />Data <br />Time <br />Relinquished bolgnat re): <br />Dete <br />Time <br />Received by (signature):- <br />ate <br />Time <br />Silo Time: <br />Stall: Finish: Finish: �,3Q <br />Total Hours: <br />yZ Al2 <br />Driving Time: <br />Start: Finish: <br />''t <br />y. f<V..To <br />tei Wnr� <br />Mileage <br />Gemll GreOhict 1208) 571-3667 <br />Approved <br />J <br />Ok <br />i� <br />