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D <br /> GeoAnalytical Ahboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 <br /> 0 <br /> Modesto, California 95351 Fax 1(209) 572-0916 <br /> 26T1 <br /> CHAIN OF CUSTODY r <br /> Client �«�� *�' Phone �C <br /> Address CC to: I <br /> l/V r0 Zip <br /> PROJECT ID ANALYSIS V� <br /> Noy <br /> of. <br /> SAMPLED BY: (si nature) tai . U <br /> ars �� REMARKS <br /> 'ampe 8 / <br /> Date Time type Sample 10 <br /> aro temp. <br /> !m I:zs k 29,f g- - <br /> I: X 1 --rI41 —M - I I ) X <br /> k I -Tk - s- x x x 8 <br /> v - -N- 1 IX <br /> •ov x - 3- 5 - 9 � <br /> 2:t k - Tk3 - N- I X <br /> 1= k VTea t Ls - 9 1 X X <br /> I <br /> Relinquished by (signal ): t Time Received by(sig / e Time <br /> -?4) <br /> R inquished 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 /> 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 /> Mileage Approved By <br /> Gull Gry010(209)521.7647 <br />