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r - <br /> F <br /> GeoAnalyfical Laboratories, Inc. Phone (204) 572-0900 CD <br /> 1 1031 Kansas Ave. Fax #(209) 572-0916 <br /> Modesto, California 95351 �} ,: <br /> CHAIN OF CUSTODY <br /> 4 �.t/ r7 Phone <br /> Client <br /> CC to: <br /> Address <br /> Zip — <br /> PROJECT ID �e� ANALYSIS <br /> T No. <br /> call- <br /> SAMPLED <br /> �i <br /> I` SAMPLED BY: (signatu e) 'a,"• REMARKS <br /> ars <br /> same@ Sample ID <br /> Date Time <br /> ane came 1 <br /> t <br /> r <br /> i . <br /> i . <br /> Data Time <br /> Relinquish (signature): Date Time Received by(signs 3.5 <br /> �� 31 <br /> t Date Time <br /> 4 <br /> Relinquis by(signature): Date Time Received by(signature): <br /> Date Time <br /> Relinquished by(signature): Dare Time Received by(signature): <br /> l Date Time <br /> Relinquished by(signature): Dale Time Received by(s'gnature$ <br /> Date Time <br /> Relinquished by(signature): Dale Time Received by(signature): <br /> Driving Time: <br /> Site Time: <br /> start: Finish: <br /> Total Hours: Start: Finish: Total Hours: <br /> Approved By <br /> Mileage <br /> -"� Galen Graphics 12091 527-3667 <br />