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cro- GEO-MONITDR, Inc. <br /> P,O. BOX 1428 <br /> 17152 DARWIN AVENUE <br /> MONIMI$ HESPERIA, California 92345 <br /> INC, (619) 244-3481 <br /> CHAIN OF CUSTODY RECORD <br /> PURVEYOR: <br /> f f _ ANALYSIS REQUESTED <br /> PROJECT/CONTRACT/PO NO: '- <br /> REMARKS/SPECIAL, INSTRUCTIONS <br /> NAME OF SAMPLER: <br /> LAB USE ONLY SAMPLE DATE TIME O R NUM ;ry <br /> LAB 1.D. 1.D. M B TCON- ��' �✓ ° <br /> _ " e <br /> /; X41 CG -� <br /> 72-Iz <br /> fill. sf / i J 4 <br /> i <br /> a <br /> RELINQUISHED BY(SIGN) DATE/TIME RECEIVED BY(SIGN) — DATE/TIME RECEIVED FOR LABORATORY <br /> BY(SIGN): DATEliiME <br /> '41 RECEIVED: <br /> 4 ❑ COLD AND INTACT OTHER PRESERVATIVE ❑ YES ❑ NO <br /> l <br /> ❑ OTWER: <br /> TURN AROUND TIME: <br /> SHIPP : ❑FED X ❑UPS OOTHER SHIPPING 0RDER NO ❑ 24 HR 11 2 DAY 0 5 DAY Y <br />