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Lab Report # <br /> GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: 5 <br /> Client: �� CHAIN OF CUSTODY Fax: ISc <br /> Address: To: <br /> ` C zip 9Sz <br /> Project ID 'Xi., �% r �i <br /> (Print Name) <br /> Sampled By y(Signature) ContainerJI Lab ID <br /> t. <br /> ¢, # <br /> Sample type <br /> Date Time Sample ID Type size z° <br /> Grab Comp Mathx <br /> Remarks <br /> 1 <br /> ReliMiy (Signal Dateime Received by (Signature) Date Time <br /> Relinqui r l by (Signature) hate Time Receival by (Signa[ re) Cate Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> Site Time: /5 y� f Driving Time- l Total urs <br /> Start: Finish: Total Hours: AACE, Start: 5D Site Arriv x2- ,y <br /> Mileage Approved By4k-N ! � <br />