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M Mill <br /> Ceo&&A I Technics Ina Page of <br /> 11017th stmt Chain of Custody <br /> Modesto,CA <br /> (209)522-4119 Fax 522A227 <br /> F,inai1•geologicatteclrmcs0sbeglobaLrtet Analysis Requested Laboratory Name and Address <br /> Project# Client/Project Name <br /> of ffi--Z I L) <br /> Sita Address <br /> Purchase Order# <br /> Global la No E �~ <br /> S EDF Report Ifes ❑ No <br /> Sampled Sy-(print and sign n ) o Turnaround Time 5 Standard <br /> o 1 day,2 day,5 day <br /> •- EDate Time Field I D Sample I D z Remarks <br /> Q� 13ar: d �' a w S itv <br /> r g <br /> R IinquE s (signature) Da Time calved b (sf nature) Date Time. <br /> Egnature) Date D T1ime ature) Time,Date <br /> e'g <br /> a d <br /> 71,nqu7isKdb se <br /> R calve by i re) Da Time <br /> Please return cooler/ice chest to Geological Technics Inc. Rev 4/2004 <br />