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_ Lulu Report # Z 22 j6 _0 3 <br /> GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Picone: — w <br /> Client: CHAIN OF CUSTODY rax: <br /> Address: � To: L <br /> zir <br /> Project ID <br /> (Print Name <br /> Sampled I3y , <br /> (Signature) Container 0 I,7U ID # <br /> Sample type o Grab Comp MOWN <br /> Date Time Sample 11) type Si-ze , <br /> r'6- <br /> Le:z & ar S&"Y-6 ZO G�O� <br /> z�° S <br /> Remarks <br /> fi/�/' <br /> e ui e ' y (Signal ate Iime Received by(Sign:uurc) Date '1'inte <br /> Relinquish )y (Signature) Date 'I'ime Received Ivy(Signature) Date time <br /> Relinquished by (Signature) Date I'inle Received At Laboratory by(Sign:uure) Date 'lime <br /> Site"time: f Driving"Time: local Hours <br /> Start: Finish: ©� Total f Inurs: N� titan: ice Arrival: 0—x2- ��5' <br /> T0760'L /, ,'Z <br /> Mileage ���X2= ��_p _ Approved fly ' <br />