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r <br /> GeoAnalytical Laboratories , Inc . Lav Report # <br /> 1405 Kansas Avenue Phone (209) 572-0900 <br /> Modesto, CA 95351 // FAX (209) 572-0916 <br /> 9icJLJl2t7ii//�11�/V77� �- Phone: <br /> Client : CHAIN QT CUSTODY Fax : <br /> Address : To: - - _ 4' 9/ZG$ !' <br /> e' lip - <br /> r <br /> Project Ill /)o lhlnv Off 5/- <br /> (Print <br /> (Print Name) 1214 q <br /> Sampled By (Signature) ` o ,45s L d $v <br /> Container OT <br /> Date Time <br /> e' � <br /> Sample typLab ID ii <br /> Ile <br /> Sample Ill v <br /> Grab Cooip Mavix Type Size 7 <br /> xi ix I <br /> 2-30 t/ l .0 rflZ �L <br /> u r >G K x <br /> Remarks <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by (Signature) . Date Time <br /> Site Time ! ;-a, , - Driving Time. r A G 1 Hours <br /> Start : - . ( Finish, -� �` :y{.( Total flours : �— Start ��,r'A � Site Arrival : ,l �,4, 'v�i �2 � , ��� . , <br /> If -`t <br /> Apt., ., ved Li — _ _ <br />