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A T� <br /> '14�= -00 <br /> GeoAnalyitical Laboratories, Inc. Phone (209) 572.0900 <br /> 1031 Kansas Ave.. SLt Je C Fax #(209) 5�2-1916 <br /> Modesto. California 953251 <br /> I80L: <br /> CHAIN OF CUSTODY <br /> ClienE Gt—a Phone <br /> CC to: <br /> Address <br /> Zip <br /> ANALYSIS I <br /> PROJECT ID ] No. <br /> of COI <br /> con <br /> S`jJ �J <br /> L S. n urfain REMARKS <br /> e� �03 <br /> s&RPSB <br /> m I Sample Lot ati?n <br /> 46u Gmo.t 4 <br /> a}. I I OT�I�. • s l l i I I I I Z� � <br /> l i 11 i i l l l l <br /> LA <br /> •i � I i t l i I l i I jeAW1 <br /> I ! <br /> 77 l l l l I <br /> Date Time j <br /> �� I Time 1i Read` <br /> u } byi nature) i. <br /> Relinquis at : <br /> Relinq e y(signature}: <br /> I <br /> I Time I—, <br /> PeceiyeE by{signature}: <br /> Data "Tri <br /> me <br /> Date Time Received by(signature): I Dale I Time <br /> Retinquiehed by(signature): I 1 I I <br /> ` Date Time <br /> ReSnquisned by(signatures: � Dew I Time ` Received by(signature): <br /> ` I <br /> Date I Time <br /> ! Relinquished by(signature): I Data I Time j Received by(signature): 11 <br /> Driving Time: <br /> ------- — L.._Site I - ------- --- <br /> Start: Finian: Total Hours: 4}-Start:- —Finish:--- TotalH..qurs —)------ —_ ---- <br /> Garai Goarrics tzuai sxraaar <br /> I ' <br />