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r <br /> 1 GeoAnalytical Laboratories, Inc. ca <br /> 1405 Kansas Ave., Suite A Phone (209) 572-0900 �0 <br /> Modesto. CA 95351 Fax #(209) 572-0916 � <br /> 16577 <br /> CHAIN OF CUSTODY <br /> S <br /> Client �y & S Phone �� O <br /> r'Address U CC to: 1 <br /> zip. `FIs <br /> t <br /> PROJECT ID ANALYSIS <br /> JKYot C Co1 d J�r.,2-el e— of No <br /> SAMPLED BY:e(sign con- <br /> tain- <br /> ers REMARKS <br /> samDate Time Sample IDGrab 1? j X Lf Lr <br /> -is ��t x tv4w_ Il 171. <br /> LRelinquished by nature): Dt Ti e 4d by(signet)e): D to Time <br /> i Relinquished by.(signature): Date Time 'Received by( ' ature): ate Time <br /> i <br /> Relinquished by (signature): Date Time Received by re): Date Time <br /> Relinquished by(signature): Date eceived by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Dale Time <br /> + Tim Driving Time: <br /> Finish: Total Hours: Start: Finish: Total Hours: <br /> Mileage Approved By <br /> U l 11 �,- - <br /> E Garoli Graphics(209)527.3667 <br />