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0411 4- 38 <br /> 4700I091Cat 7i"knta Ina Page. of <br /> 1101 7th Street <br /> Modt%M,CA Chain of Custody <br /> (209)523.4119 Fo_x 52214227 <br /> E-mrril:geblrgi�►tt ,nicssb� Jobal.net Analysis Requested Laboratory Name and Address: <br /> Pr4j$ct#: GlienV roject Name: -� <br /> 1 fix,t <br /> Site Atidrees: oro <br /> C„scf � Purchase Order I <br /> EDF Report: UY �o <br /> Sa l�1 ,+�(611 d sign rrsme) O '� Turnaround Timti j S ;_- tandard <br /> "�-- .�, t a ro 1 .r• fi .1 day, 2 day; 5 clay <br /> Date Time ` sam <br /> ple LD, Remarks <br /> 4 r. <br /> qujshQ (s+g� rei Dat Time.-f ReaeJved by, ;signatu � a Date: Tme- <br /> R rnquishe (signature) Date: Time: Received by:(sfgnat Date: lime: <br /> Relinquished by:4slgnat fro) Data'. Time: Fieaeived by, (aignMm) Date: Time: <br /> Please-return coolerlice chest to Geological Technics Inc. Rev.4IM04 <br /> CCL- rwe''Yla'va•A VI D 0 1 _ruY0���L G i � <br />