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t <br /> Geo.Analytical Laboratories, Inc. <br /> 1.031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> I Modesto, California 95351 Fax y(209) 572-0916 <br /> {Ji <br /> Ij CHAIN OF CUSTODY I `' <br /> r <br /> Client L"il r�;L�._LG� // — Phone <br /> Address . CC to: <br /> r <br /> Zip- <br /> (011 <br /> PROJECT ID /6 > t ANALYSIS <br /> No. r <br /> SAMPLED .S •:'(signature) <br /> REMARKS <br /> ;t } <br /> type Sample Location <br /> Date Time I e,2_ jcoR. \ i <br /> I I I <br /> cry � � f• <br /> Q I �Gr` �~�+ •� i i� i+ !''/ � +i� �--7'Z I / I � +r i I � I � � ��.'C�� J ,~ I <br /> _Y ! <br /> I ! <br /> is <br /> I <br /> I I i I I i I I I <br /> I ! ! ! ! ! ! I <br /> I� Relinqu?shed;by (signature): Date Time Regeived by signature): D to , Time <br /> /: 0 <br />! Relinquished by {sigai�re): Date Time Received by (signature): Date Time <br /> v I <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> r <br /> Relinquished by (signature): Date Time Received by (signature): III Date Time <br /> Relinquished by (signature): Date "Time Received by (signature): Date Time <br /> Site Time: Driving Time: <br /> �L Start: E Finish: Total Hours: Stall: Finish: Total Hours: <br /> i� <br /> Garooi G+aphiL3(209)?27"E'67 <br />