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0 9 <br />GeoAnalytical Laboratories, Inc. <br />1405 Kansas Ave., Suite A UP211WE Phone (209) 572-0900 <br />Modesto. CA 95351 Fax #(209) 572-0916 <br />CHAIN OF CUSTOD�UN 2 6 1995 15647 <br />Client — � -s c /, u,1/11Z -1 r -/ 4 L <br />Address 1©VD W, /-/,i , 's J. _/ /8 <br />Zip�� <br />Sr/ 0 11AZf 679--� A-,� if <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />Phone <br />CC to: <br />PROJECT ID <br />No. <br />Of <br />con <br />tain- <br />ers <br />ANALYSIS <br />REMARKS <br />0 <br />SAMPLED BY: (slignatur" <br />sa ty P <br />Date Time G,.b 1Cp. <br />X- <br />b AAaea <br />rX K <br />t <br />r- 3Ami <br />X 0-19 D <br />X, <br />z <br />I. "YW K <br />?> <br />,;t,o <br />-r4xl45- <br />Re�nqilished b <br />Date <br />Time <br />/0:519 <br />FiKeived by (signature): <br />/ -� V)" -?OA <br />9ate <br />Time <br />-'l�iRei <br />gnature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: Total Hours: <br />Driving Time: <br />Start: Finish: <br />Tota�ou-rs-. <br />Mileage <br />Garoli Graphics (209) 527-3667GYII Ito) I'i n ta c+ <br />Approved By�� <br />