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r <br /> GeoAnalytical Laboratories, Inc. <br /> CD <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> 4t <br /> CHAIN OF CUSTODY 5386 <br /> LW <br /> Client - J <br /> y ��...�.. �L•�- 'Phone <br /> Address l o ��Lx i� L _ CC to: t__ i L;dC\. �V �tiCt�'C 4w <br /> t L. - zip' q1A 1 l"Cum H i .IA.—,.. <br /> PROJECT ID ANALYSIS <br /> Q)3 <br /> h y No. <br /> L.0 YJ 5 L- Cir. S T c J: of <br /> SAMPLED Bcon- <br /> ag tore) tan- / <br /> �/ ers REMARKS <br /> type Sample <br /> Date Time Grab comp <br /> L s • I � . c <br /> C/ <br /> 6 <br /> f <br /> V <br /> I <br /> V <br /> sm Relinqui byfl(signatu at Time Received by t re): at Time <br /> f � JJ 1 <br /> Relinquished by (signature): { Date Time Received y (signature): Date Time <br /> 0 <br /> Relinquished by(signature): Date Time Received by(signature): V Date Time } <br /> f <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Lo <br /> i <br /> Site Time: 1 tom_ "�; Driving Time: I ) <br /> Start: Finish: Total Hours; 1 ;Start: Finish: Total Hours: <br /> V <br /> Mileage �`' Approved ay (..1 J U i <br /> Lo <br /> RECEIVED <br />