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,GeoAnai tical LaboratoriesInc. <br /> y <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY .59 5 r <br /> Cliertt� Phone 7LX2), <br /> Address.7 <br /> ��-�J,� 2 CC to:j^ <br /> zipC` . <br /> PROJECT ID ANALYSIS <br /> No. <br /> ` J V ✓ of <br /> con- <br /> SAMP Y: (sign re) gain- <br /> ers /f REMARKS <br /> type Sample IDS (� <br /> Date Time Grao <br /> f) I ! I 3` � <br /> # I <br /> � Ii I Ii I <br /> I ! IIi I <br /> r <br /> I I <br /> i <br /> quished b (sig ur a e €ime,i Receive/d by (signature):- Date Time <br /> R " quished by (signature): Date Time',I Received by(sig5atr): 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 /> i <br /> Site Time: Driving Time: <br /> Start: /L:ij5 Finish: (:34:_1 Total Hours: �� Start: [ L{,� Finish: .Total Hours: l -i <br /> Mileage Z✓7 "LiLr c�.,t �.�.a� Approved By '_X/1Z_;� <br /> Garali GraOniCs 12091 527.3667 - J <br />