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i <br /> CHAIN OF CUSTODY RECORD <br /> GEOTHASEGeo-Phase Environmental Inc. <br /> 2937 Veneman Ave., Suite B-240 <br /> ENVIRONMENTAL Modesto, CA 95356 <br /> (209) 569-0293 <br /> Fax (209) 569-0295 Lab Need F1 N Page / of <br /> Job Number ,o.# project Name <br /> 1/o,3 Cri7re.-- <br /> Sampler(Signature Site Address <br /> Qy �o^ro�p~ <br /> SAMPLE fb. DATE TIME NUMBER TYPE SAMPLE <br /> of Grab or MATRIX ��ti q� tt,4 4 REMARKS <br /> Containers Com osite <br /> 1 <br /> Relinquished By:Signature) Date/Time Reci£vel By:(Signature) R Date/fime TURNAROUND TIME <br /> :3 ' L 24 HOUR ❑ <br /> Relinquished By:Signat e) Date/Time Recieved By:(Signature) Date/Time <br /> 48 HOUR ❑ <br /> Relinquished By:Signature) Date/Time Recieved By:(Signature) Date/Time 5 DAY�/ <br />