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' DEC f 19 1900 <br /> GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave , Suite C Phone (209) 572-0900 <br />%- bf` Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 1452 <br /> 1 Client Q4 Phone <br /> Address CC to <br /> Zip <br />' E T ID ANALYSIS <br /> P ROJ C No <br /> WW <br />' <br /> 23 W W of h �'con- <br /> SAMPLED Y {sEgnat ) lain- REMARKS <br /> ers �1 <br /> 'L--z <br />' ampee Sample Location jyt <br /> Date Tim arab c� <br /> x a3 - <br /> a x 3 ` <br /> 1 <br /> Relinqui d by(sign re) Date Time Received by(signature) , Date Time <br /> ' Date 4me Received by(signature) Date Time <br /> Relmq ed by(si lure) <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) <br /> Date Time <br /> Site Time Driving Time <br /> Start Finish Total Hours Start Finish Total Hours <br /> Garol+Graphics(209)527 3687 <br />