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r <br /> t' s <br /> ELM <br /> u� <br /> 'TcoAnalytical Laboratories, Inc. <br /> 11honc. (209) 572-0900 <br /> 1031 Kansas Ave. Fax #(209) 572-0916 <br /> a: <br /> Modesto, Califumia 95351 <br /> 3U1L) <br /> CHAIN OF CUSTODY <br /> Client <br /> _ — -- CC lo.--- ------ --- (� <br /> Address -- --_~—.--- <br /> _-7 <br /> . _ f <br /> ! AraA+Ysls/ �� f�� <br /> PROJECTiC t;P�rif�, rof <br /> G To G/�T- "� of I! <br /> vyrvyl Tom.S con-1 / / <br /> 5Ah1PLr=Q BY: (signature) rain-I J /% �lEfdhF3f:S <br /> — ars <br /> sampe <br /> � <br /> wpo Sample l[] <br /> Date Time .� •P <br /> 0c) `'[ <br /> I'JAIff 17 2,1 <br /> P --•T-- <br /> rJa ,0�to 1 tn Time Flncnivrd by(sign' Timo <br /> ru / / 1 Try I to <br /> Flelinquishod by(signature): J!.J•a' �,G�r�1 X1 • . �/ -_ <br /> �} ----- <br /> -- Data I Time I ReteivKq by r�igr,aturn} <br /> n - uisbed by(,ignat4re): <br /> gate Time <br /> �—�—�— Oate Ti-no RF;celvrd by(sig119lull'V -- — <br /> Relinquished by(signature): j <br /> Dn!o Time 11Pceived by(sigaatun:). _ <br /> anlinquisheo by(signalwa). <br /> Ralinquis'ed by(signature): Dato Timo i �?pceived by(sirnxture): <br /> Dale Time <br /> Driving Time:... <br /> I Suu Time: IStar,; Finish: Total Hours:—� <br /> Total flours: ! <br /> start: Finish: <br /> Approved By <br /> Mileage <br /> Garoli Grephica(2W!627-3553 ' <br />