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ou� Tech �nvlrt9v ntaf h7c, <br /> 4877 Modesto, CA a 95352-4877 • (209) 5764182 <br /> Soil &Groundwater Investigation • Environmental Real Estate Audita <br /> Remedial Site Assessment • Remediation Systems <br /> ',4"GearralFtigri���ring Co�tracliars'lr ewrrA& 6��fs6 <br />' CHAIN OF CUSTODY <br />' alern - `fp D I <br /> Phone <br /> Address <br />' CC to: <br /> Zip- <br /> PROffCT ID <br /> ANALYSIS <br /> If No <br /> o, <br />' SA PLED RY: (si nature) . con �r <br /> tain- <br /> efS REMARKS <br />' <br /> type Sample Location J(� <br /> Date Time o,a, c <br /> •3f- <br /> 7 <br /> o.1419 x AA 1,1- I <br /> ;06 <br />' wished by (s• lure), � Date Time Received by(signature): Date Tints <br /> -IRA <br /> nquished (signature): Date Time IjReceived by(signature)/ Date Time <br /> tRelinquished 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): Date Time <br /> Site Time: Driving Time: <br /> Sion., Finish: Total Hours: Start: Finish: Total Hours: <br /> 1 <br />