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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0915 <br /> CHAIN OF CUSTODY 4" <br /> 6 J <br /> Client Phone //�/ <br /> Address CC to:11,4•• , :i`S'XIVU5e-� IfS52irrf c; <br /> ZI <br /> P <br /> PROJECT ID • NO. ANALYSIS <br /> of <br /> SAMPLED 6Y: ignature)� an <br /> '21 lie/ REMARKS <br /> Date Time o.,e co•a Sam pie ID V <br /> .:)' o / <br /> re V <br /> 'N fr ,� V / <br /> 1 <br /> P �, 1'' ✓ <br /> :.'fir• f <br /> Z . <br /> i7zi, V 1 ,4 P11 &ooh&t2Z I / <br /> 1,1 1 <br /> ,, 4 Z1 Q; 1 ✓ <br /> l /y tl p <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Re"uished 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 by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start://1 Finish: Toter yours: Start:/�'�t7 Finish: Total Hours: <br /> 'X t <br /> Mileage ApprovedB�i.%� 'f ;1%�`,_ <br />