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GeoAnalyticat'Laboratories; Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY i 6� 01 <br /> i <br /> � 'rp Ole <br /> Phone <br /> Address CC to:)&,04fG <br /> Zip -5 Yltr-7ee I., <br /> C� 13lC4 v ASG y i <br /> PROJECT ID ANALYSIS <br /> o► / <br /> SAMPI/,r Y: (signa re) ! Con. <br /> tain- <br /> ers <br /> I <br /> �� REMARKS,',,, <br /> EMARKS', , <br /> camp e ` r <br /> Pe Sample ID v <br /> Date Time e� c,p. <br /> 0: ✓ G3 � I i/ <br /> 1 G/.UE' / 4J ' ✓ t� <br /> E 10 <br /> Tua o -7 T�14 <br /> Q- &oile 171 n: 9;js <br /> i3/'n, <br /> R 'shed by(sign ure): pate Time Received by P furs): I eta Time <br /> ra 1 ) 1�:C14rh <br /> Relinquishe by(signr Date Time Received y(signature): —-r 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: , Finish: ,/r�� Total Hours ( Start: ��3� Finis : Total Hours: <br /> I r !.. <br /> Mileage 6-0 iti Approved By I 67 J <br /> LV <br /> Garah Graoics(209)527.3887 <br />