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s <br /> _ w <br /> GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave.. Suite C Phone f'_09) �7?-0900 <br /> Modesto, California 95351 Fax "'(209) �7_ 0916 <br /> CHAIN OF CUSTODY ' <br /> Client 1^ <br /> ACdre55 CC to:—---- <br /> Zip_ <br /> i� <br /> PROJECTID i ANALYSIS <br /> SAMPLED 3Y; (sigture) ;ta.a 1� PEMAPKS� <br /> t ca i Sample Location / �j +�CI O 1 <br /> Date Time <br /> 72, <br /> D <br /> 1 d s X 1 i 33c4b3 <br /> �5 <br /> c <br /> /12 <br /> j6+' I r' I I 1 I i3V4$ I <br /> T1 <br /> Relinquishec ay{ ig nature): i Cate 'i Time Rec,v b Date Time 1 <br /> r�elincuishec;,f[sigrature): Care E Time ecewed by(signatures: <br /> pate rme ' <br /> II I <br /> Relinquishec by{signatur <br /> Cate I Time Received by(signatur_:: Date Time <br /> e): <br /> I <br /> i <br /> Relinquishec tsy(signature): Date I Time I Received by(signatures: Dale I Time <br /> i <br /> Ret ncutshee oy(signature): <br /> Cate Time Received by(signatures: Dale I Time I <br /> _ Site Time: DnvngTime: <br /> Star,: Fin'sn: Total Hours: Star*., Fin sn Total Hours: <br /> 1 <br /> + <br />