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GeoAnalyflcal Laboratories, Inc. Phone (209) 572-0900 <br /> 1031 Kansas Ave., Suite C Fax #(209) 572-0916 <br /> w Modesto, California 95351 <br /> 1 i 2-) <br /> CHAIN OF CUSTODY <br /> Client__LVA1r_ Phone <br /> CC lo:__ � <br /> Address -- <br /> Zip <br /> PROJECT IDNo. <br /> �^ ANALYSIS _T <br /> of <br /> con- <br /> SA LED BY:(signature) lain. REMARKS <br /> ` I R <br /> samee Sample Location Q� <br /> Date .Time aab c,,,,, <br /> n r {{- F D(R3` ChLL 5 tGe✓ <br /> --- — <br /> 1 , <br /> - S <br /> 3:1 <br /> Data Time Received by 'g r ): Date. Time <br /> Re utshed by(signature): <br /> 3,") <br /> w <br /> Relinquished by(signature): <br /> Date Time Received by(signature): Date T me <br /> `- y nature t,,Dste Time <br /> Relinquished by(signature): Date Time received b (s:g ): <br /> Dale Time I . <br /> Relinquished by(signature): Date Time Received by(signature): I` <br /> Relinquished by(signature): Dat? Time Roceived by(slInature): <br /> �_� Oate Time 1 <br /> - Site T3tne[ Driving Time: <br /> alert: _. Finish: -fatal Hours: <br /> _ _.. _. <br /> _..Fnish..... . ... ......Tnta1 Hours:-.... .... _.._._. _..._ <br /> W <br /> Star?: , <br /> i <br /> C;,-je 6<rphics(289)527.9547 <br /> .;�ta��alm����-rr®canimp <br />