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Rl�pj OR WNW <br /> I Ell <br /> 4WW'd <br /> GeoAnalytical Laboratories, Inc. phone (209) 572-0900' <br /> 1031 Kansas Ave., Suite C Fax x{(209) 572-0916 <br /> Modesto, California 95351 <br /> CHAIN OF CUSTODY <br /> �•• Client IJ F — <br /> Phone. <br /> CCAddress---­— <br /> Zip-- <br /> _0 <br /> ddress— - — <br /> Zip ,0 � - <br /> ' f'ROJcCT I[) ANALYSIS <br /> of / <br /> of <br /> ton- !" <br /> SA PLED BY:(signature) lain• ti REMARKS <br /> ars <br /> St Pee Sample Location <br /> Date Time /} <br /> .�_ ✓ tR ✓ ✓ Y. 4 <br /> t I ✓ ✓ <br /> ' 2r't7 v. x t t l � � ✓ � <br /> I <br /> Time <br /> shed by(signature): Date Time Received by u4,00 <br /> si nature Dale Time <br /> linquished <br /> � Reby(signature): <br /> Date T;,r.; Received by( 'g k <br /> Received by(signature): Date Time <br /> Relinquished by(signature): J Date Time ' <br /> P.atinquished by(signature): Date Time Received by{signature): <br /> Dale Time <br /> a. —�--- It nature Data Time <br /> Relinquished by{signature): <br /> Data Time Received by(s'g ) <br /> Driving Time: <br /> Site Time: Total Total Hours: <br /> Start: <br /> Finish: }{ours: Start: Finish: <br /> - -- ---- — <br /> Gemii Grapnlcs(209)527-3667 <br />