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070109kaI reewdl . 0410437 <br /> yam701 rChain of Custody <br /> r,����estu,tty CA <br /> .� Y <br /> (209)5314119 Fax 522422,7 <br /> E-mail:geo]oo4mitechnicsQ�sbegiabal.nel Analysis Requested Laboratory Name and Address: <br /> Project#: ClieniMroject Name: - �} . <br /> A <br /> Site Address: <br /> ro <br /> - c C, fy,, 0 Pu-chase Order <br /> Remarks.: w CO L <br /> �: EDF Report: Q Yes ;LNu <br /> S PI�cFBy ( arni aigrr name} r I Turnamund Time: S-Standard <br /> Lj <br /> ��`• � E,4., o ,e M � � 1 day <br /> C- L I ,2 day,5 day <br /> Date Time Semple I.D. � � � � •- Remarks <br /> r7 <br /> R q i (signature} Date: Time: Received by:(srgna ) bate: Time' <br /> Relinquished by: signatcuej Date; Time: R by signature) Date; lime: <br /> Relinquiahed by-.(sigi)=rcj Date: Timo: Recglvad by;(09nawna) bate- Time: <br /> Please return coolerlice chest to Geological Technics Inc. : 1 j , <br />