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i � <br /> tAL ' A----fl Page_of <br /> 11017th Street Chain OfCustody <br /> - Modesto,CA (I'osJ <br /> (209)522-4119 Fax 522-4227 <br /> E-mail:gti@geologicaltechnies.com Analys egerested Laboratory Name and Address: <br /> Project#: IClienVProject dame: <br /> Fr� <br /> C-60W E5 Sti / = 0 Le0 <br /> Site Address: vi <br /> l a U7 C Purchase Orqqogder# <br /> .-;9Global ID No , 0 . E <br /> �� �� 3 EDP Report: ❑Yes L"o <br /> Sampled 3 : (Print and sign n <br /> o 3 Turnaround Time Standard <br /> Al <br /> 9 o 1 day, 2 day, 5 day <br /> z&a�L <br /> w- E <br /> Date T14 Field I.D. ` Sample i.D. z° � � � Remarks <br /> ,- <br /> R i quished y t Date: Ti Received by: (signature) Date: Time: <br /> 0 Ta <br /> Relinquished b . sig ure) Date: Time: Received by: (signature) Date: Time: <br /> Relinquished by: (signature) Date: Time: Received by: ( ' star D te: Time: <br /> Please return cooler/ice chest-to. Geological Technics Inc. Rev.412004 <br />