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Flo <br /> GeoAnalytical Laboratories , Inc . <br /> Lab Report # - (D <br /> 0 1405 Kansas Avenue Phone (209) 572-0900 N 0 1 7 3 8 <br /> Modesto, CA 95351 FAX (209) 572-0916 <br /> � Phone: <br /> Client: CHAIN OF CUSTODY Fax: <br /> Address: To: <br /> LG' Zip <br /> Project ID —Y <br /> (Print Name) <br /> P Y <br /> Sampled ]3 (Signature) <br /> _ Container <br /> Sample type V`o Q Lab ID # <br /> Date Time <br /> crop a,a,P Mair;. Sample ID Type Size z° <br /> z 0 <br /> - ( 44a <br /> a ► � s . <br /> ALP <br /> Remarks <br /> i <br /> ishe (Signature Time Receive by (Signature) <br /> lingt� she f (Signature) Date Time ignature) Date Time <br /> Relinquished by (Signature)e_) Date Time Re ivedAt Laboratory y (Signature) Dat Time <br /> rJ2 Co <br /> Site Time: I bi ime' Total Hour <br /> SUn_1 ) t a, _ Finish: l( (�S Total Homs: Sf Site Arrival : z2= <br /> L� ` rr <br />