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5 <br /> r <br /> ti3 <br /> ,fy <br /> T <br /> f� <br /> 7 <br /> GeoAnalytical Laboratories, Inc. <br /> Phone (209) 573-0900 <br /> 1031 Kansas Ave., Suite C Fax #(209) 572-0916 <br /> Modesto. California 95351 <br /> CHAIN OF CUSTODY <br /> [_• Phone <br /> Client Lr;Jl '� r •} if0 -- <br /> CC to: <br /> t <br /> Address <br /> Zip- <br /> LA <br /> PRO3EC7IQ g. '� ANALYSIS �- <br /> T � 5 ,,4,,, I of V <br /> X71/l C I ocn- <br /> BY: ign tur 3n'IISAMP <br /> ' REMARKS <br /> ers <br /> J <br /> Siy Sample Location i <br /> Date Time;o•, c, , i I -- <br /> - r C) <br /> r I .-Vj L— 5. _ K x i y-1 . GI <br /> 1C) CL v <br /> C_ 3D3`1� � �-- <br /> I <br /> LJ <br /> I I 1 I --i <br /> 11 7­1 _LI <br /> Dale i Time <br /> Relinquished by(?iceu <br /> na :es: <br /> 'Dale Time Received by <br /> / Time <br /> i :3i-� yah -�� _ t' 3• I <br /> /�� r � Date <br /> Relinquished by{ talure): Date I Time Received by is gnature): ^-- - <br /> Rel I Date Time Received by sig <br /> nature;: Date 1 Time <br /> Relinquished by(signature): <br /> I I <br /> i — r nature): Rare Tim• <br /> Relinquished by(signature): i Date I Time Received by(`-g <br /> _ Date Time <br /> Rylinquishen by{signature): I Date Time <br /> j Rec�,.ed by(signature): i <br /> - i Driving Time: <br /> Site Time: : Start: rota;Hours: <br /> SFinish: <br /> Stan: Finish: Total Hours <br /> Gartd:Craph�ee 120?I'2"-]E67 <br /> I <br />