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-- GeoAnalytical Laboratories, Ir►c. phone (209) 572-0900 <br /> 1031 Kansas Ave., Sutte C Fax #(209) 572-0916 <br /> Modesto, California 95351 <br /> 166-1 <br /> CHAIN OF CUSTODY <br /> Phone_ ----- <br /> Client J CC to: — <br /> Address --- <br /> Zip <br /> ANALYSIS - -- �C — <br /> pRO.lECT ID No. <br /> con- <br /> SAM <br /> t�J <br /> SAMP ED BY:(signature) REMARKS <br /> ers r <br /> Alf— <br /> s`mee Sample Location �� 4r aj ,^ <br /> {� <br /> Date Time a,ib c—P. <br /> ► Y. �- r rpt n1��� <br /> 10'tY, ti r t y ✓ ✓ <br /> �_4 <br /> 3:cy ✓ PL_ l l �/ I_. O <br /> IV IV L9 <br /> 42 <br /> ,.., <br /> Dee Time <br /> Recei ed by Signa re): <br /> Date Time L <br /> q quished by(signature): -,: Time <br /> Date <br /> nature): <br /> Received by(signature): <br /> Relinquished by(sig Qate Time pate w Time <br /> Fte!'snquished by(signature): <br /> Date Time Received by(signature): <br /> Date � Tuns <br /> Date Time Received by(signature): <br /> Relinquished by(signature): J ---- Date Time <br /> Data Time Received by(sigm lure): <br /> Relinquished by(signature): — — <br /> �� Driving Time: <br /> rSia <br /> Time: Finish: Total Hours: <br /> : Finish: Total Hours: <br /> Start: <br /> i Garen drapnki(2m)52:-7667 - <br />