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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY e-� 19814 <br /> B-F iDts-5 <br /> Client CO/V 2 / )2LCgC/-�( Phone <br /> Address CC to: <br /> Zip <br /> Cn• DET LSA 3-- <br /> PROJECT IDNo. ANALYSIS �31� <br /> of <br /> con- <br /> SAMP D BY: (sign re) tain- r <br /> Pte` ers REMARKS <br /> sample <br /> Sample Location `C <br /> Date a iGrab Comp. <br /> '{ <br /> 13 i:r _3s4,---7 <br /> 31'2'13_5 )C <br /> ams - x r <br /> 1 1'3 X 1 `'n SS— ;"C,`, IV >44 K <br /> 1/ r :7 955_ !"(v o <br /> I '349 �� it <br /> A In <br /> Relin fished by(si re): Date Time Re ved y(sign ture): ate Time <br /> Reli shed by(sign re): Date Time Received by(signature): f D to f ime <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): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br />