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PF <br /> GeoAnalytical Laboratories, Inc, <br /> Lab Report # <br /> 1405 Kansas Avenue Phone(209)572-0900 cur—� <br /> Modesto,CA 9535I FAX(209)572-0916 <br /> Phone <br /> Client G o r J&r CHAIN OF CUSTODY Fax <br /> Address To Da')e- Me k de— _ <br /> Sj;:'-r-k-t-'0r" C Zip <br /> Projec.t ID 1 -70-7 — CCL n,,° � Crjr Ocu ib — -?o 0C%c. Ove <br /> (Print Name) } <br /> Det Ve-Sampled By (Signature) Container �. Lab ID# <br /> ^W <br /> V <br /> Date Time Sample type Sample ID Type Size z p� <br /> Grab Comp Matrix <br /> 5l7 lI oo �J t� - 5 - o- 3 X1 I I <br /> I;� oD Y, 7 - 5132- 50 -5/1199 3 X1 K J 3,-4-a59 <br /> I ;-O o - 8; -GO— 7 9 3 x <br /> 3c� I o - 5 a -7D -5 3 <br /> I <br /> Remarks <br /> Reiff hed by (Si nat re) Date Time e e ed by(Sign e at Time <br /> /F '0"1 <br /> Relinquished by (Sig ature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by (Signature) Date Time <br /> Site Time Driving Time Total Hours <br /> Start Finish Total Hours Start Site Arrival x2= <br /> Mils��nn Annrnved Rv <br />