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• • D <br /> 00 <br /> GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax 1(209) 572-0916 -H <br /> x <br /> CHAIN OF CUSTODY 3429 <br /> C <br /> Client (0© Phone <br /> Address CC tors___) PC'/c+J�^t4 S <br /> Zip Sn V� 3:JJ l fl . tftf I <br /> ° my V <br /> PROJECT It�p. <br /> No. ANALYSIS <br /> of <br /> con-SAMPLED tain- REMARKS <br /> Sample ID <br /> Date Time <br /> t x <br /> a l �I.' u l ,L S� <br /> Relinquished by(sign r _ to Time Received b r e Time <br /> L �U <br /> Relinquished by g lure): ate Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <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: Driving Time: C <br /> Start:,',pp Finish:?J',OO Total Hours: Start:VAS h:3. Total He rs�...) WI, <br /> Mileage Approved By <br /> Garoll Graphics(209)52]-766] <br />