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N <br /> GeoAnalytical Labor ries, Inc. Lab Report# <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: T 3 Z— �D 2 � <br /> CTS Fax: S3 z ` 3 � t <br /> Client: CHAIN OF CUSTODY <br /> Address: I y 8'W 7 M s.t a W--- To: C—//f',7 <br /> 5'aVtDr N Zip ' 53 7b <br /> Project IDf r� e V S7dra <br /> ( rint Name) (7 It � <br /> Sampled By ` U <br /> (Signature) Container Lab ID# <br /> Sample type O <br /> Date Time Sample IDType Size 6 �Q <br /> Grab Comp Matrix <br /> '7127/ ID5 X Pi - 7 - rz ' <br /> -7as191" og3a Ptf� S 12 ' 1Z <br /> Remarks <br /> Relin uished by (Sign ate Time ive y i ture) '� D�,t Tim <br /> �- � <br /> Relinquished by (Signature) Date Time R cei ed by( nature) Date Time <br /> Relinquished by (Signature) Date Time Re ived At Laboratory by(Signature) Date Time <br /> T I - <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />