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GeoAnalyticar Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C phone (209) 572-0900 <br /> Modesto, California 95351 Fax #1(209) 572-0916 <br /> CHAIN OF CUSTODY ' 1 D <br /> ClientPhone - <br /> Address �1�-� CC to:---_ —.___ <br /> —Zip <br /> RT <br /> PRO) ANALYSIS <br /> ar� U L C of O <br /> 1 <br /> E B (signature) :of <br /> _ <br /> ers REM WS <br /> same e <br /> [Date Time <br /> t pa Sample Location AQc,*c CO-n <br /> - -iA 7 0 AL Y, ,C 7,1 X iia L okkOLA- —� <br /> t'• cx K -C <br /> Al A <br /> I I <br /> i <br /> I <br /> .t <br /> elin ui b si Date Time Received by (signature): Date Time <br /> •'Zoe 1'• p5 __ --�' <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by (signature): Date Tittle <br /> Relinquished by (signature): Date Time Received by (signature): -- Date Time <br /> Re-iinquished by (signature); Date Time Received by (signaturu): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Flours: Start: .�Fintsh: �2'��Tctel Hours: Z •Q <br /> Garth Graph"•;203)5273667 <br />