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GeoAnalytical Laboratories, Inc. <br />1405 Kansas Ave <br />Modesto. CA 95351 0 G <br />CHAIN OF CUSTODY <br />Client Ph( <br />Address CC <br />Zip <br />Phone (209) 572-0900 <br />Fax #(209) 572-0916 <br />N° 017250 <br />PROJECT IDLee <br />ANALYSIS <br />Y <br />REMARKS <br />MP ED Y 'nature) ain- <br />ars <br />sample <br />Date Time Sample ID cmc. <br />.! ✓ <br />/ <br />'1 <br />I <br />its l <br />l <br />iV <br />V V, <br />i <br />ry / Digp <br />P / <br />�d <br />r),�cV J 1-5t •Nn a) i <br />1 <br />quish b igna r <br />�D t <br />Time <br />Rec rvedignature): <br />Date <br />Time <br />Relinquished by ignature): <br />Date <br />Tim <br />heceived by (signature): <br />to <br />Time <br />Relinquished by (signatur <br />Date <br />Time <br />y (signature): <br />R7cewed <br />Date <br />Time <br />Relinquished by (signature): <br />ate <br />y (signature): <br />Date <br />Time <br />Relinquished by (sirejl'~ <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Mileage Approved By <br />ILI <br />C) <br />