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GeoAnalytical Laboratories, Inc. <br /> p 1031 Kansas Ave. Phone (209) 5720900 o. <br /> Modesto, California 95351 <br /> Fax #(-09) 572-0916 <br /> :4t <br /> CHAIN OF CUSTODY 3'3 <br /> Client <br /> Phone ,. } <br /> Address <br /> CC to: - O <br /> zip 9—_5 _p <br /> I <br /> PROJ ET,ID lig�v ,. ANALYSIS <br /> of. <br /> ' �./ <br /> �i SAMPLED 8con- <br /> Y: (signature) Curl- <br /> lain- <br /> REMARKS <br /> I s ypeeSample ID <br /> Dat `ime Grab c«�p. <br /> �i <br /> 4 <br /> t <br /> 4'ri-r <br /> :rJv `l� /1. i a � <br /> Z�w C?L.Z. <br /> y <br /> Relinquished by(si nature): D e Ti e e eived by,(signature) Time <br /> :a <br /> Relinquished signature): Date ime eceive (signature): to Time <br /> Relinquished by(signature): Date Time Received by (signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by (signature): <br /> Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> r, <br /> Mileage Approved By <br /> I , <br /> Garaif Graphics(209)527.3667 <br />