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CHAIN OF CUSTODY RECORD <br /> � GEO-PHASE Geo-Phase Environmental Inc. N 1L %E 3 <br /> 2937 Veneman Ave., Suite B-240 <br /> ENVIRONMENTAL Modesto, CA 95356 <br /> (209) 569-0293 <br /> Fax (209) 569-029.5 pan: Need EDF: <br /> /L , D NX Page of—,,/— <br /> Job Number P.O.# Proje I Vae <br /> 7/. y1� l mS le <br /> Sampler Signatu3re) Site Address p <br /> p^p1 OCOy�`a'.Z C7 s P <br /> SAMPLE I DATE TIME NUMBER TYPE SAMPLE <br /> T <br /> of Grab or MAI �� CS t�C �` REMARKS <br /> Containers Composite <br /> Op14./ — C <br /> G SX I XC' <br /> S — C3 <br /> Relinquished Ry:Signature) 1) ' /H me Recie,e Rc:(Signaturcl DaiTri , TURNAROUND TIME <br /> 24 HOUR ❑ <br /> Relinquished B.,:Signa Daldl ime Reciesed Ry:(Signature) Uate/'Dime <br /> 48 HOUR ❑ <br /> Relinquished Bs: Signalure) Dalerl inrc Reciocd Rs:(Signmiutc) W(Cl in" 5 DAY <br />