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P"�'} ['Tl �"'*� r-7 f"" c'� r"} r-7 <br /> CHAIN OF, CUSTODY RECORD <br /> GEO-PHASE Geo-Phase Environmental Inc. <br /> 2937 Veneman Ave., Suite B-240 <br /> ENVIRONMENTAL Modesto, CA 95356 <br /> (209) 569-0293 <br /> Fax (209) 569-0295 Lam a NeeYEDF: N❑ Page/—of—� <br /> Job lVymr�.' r-o� <br /> # Project Name p <br /> (p �o �. A- 5 Y �ti h� �ryiO <br /> Sampler(Signature) Site Address [[ /f '4 p1 tih trj <br /> SAMPLE .D. 4V DATE TIME NUMBER TYPE SAMPLE �> �° REMARKS <br /> of Grab or MATRIX <br /> Containers Composite <br /> Relinqui! a By:Sign ure) Date/Time Re 'ev d By:(S' nature) Date/Time TURNAROUND TIME <br /> �. J � 24 HOUR ❑ <br /> Relinquished By:Sig ure) Date/Time ecieved By.(Signature) D�aterrime <br /> 48 HOUR ❑ <br /> Relinquished By:Signature) Date/Time ecieved By:(Signature) Date/Time 5 DAY <br />