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Tech!= _ 61, C)-Zf Page of <br /> 1141 7th Street <br /> Modesto,CA <br /> Chain of Custody <br /> (209)5224119 Fax 522-4227 <br /> E-mad geologicaltechnics@sbeglobal net Analysts Requested Laboratory Name and Address <br /> Project# Client/Pro)ect Name <br /> � <br /> Site Address &"v <br /> � <br /> Purchase Order# <br /> Remarks <br /> a EDF Report Q Yes — <br /> Sampfed,B (print and sign name) U N o Turnaround Time 0Standard <br /> o f 1 day, 2 day, 5 day <br /> Date V Time Sample I D 0Remarks <br /> * }kl.iC-moi..t AA" <br /> r 4 <br /> } <br /> Relin hed by (si ure Date Time OF-yo Rece ve b (s�gtu�re) Date Time <br /> �7JI' <br /> Reli wished b ( na E e) Date Time p iv d by Is r , Date Time <br /> c ,,•y I,} <br /> Relinquished by (signature) DA I Time eceived by (signature) Date Time <br /> Please return coolerlice chest to Geological Technics Inc. �e 12/03 <br />