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GeoAnalytical Laboratories, Inc. <br />1031 Kansas Ave., Suite C <br />Modesto, California 95351 <br />CHAIN OF CUSTODY <br />Client �tU LZ2 0 L <br />6 <br />Address <br />w <br />CD <br />Phone (209) 572-0900 0 <br />Fax #(209) 572-0916 a <br />08151 <br />Phone <br />CC to: a A. -Q2 FAMU U 1= Fl- 1 <br />&3 ;ZAa v IJ C-0. Q} <br />PROJECT ID <br />Q�=571— L� <br />_ LS <br />No. <br />of <br />ANALYSISV.// Q <br />`) <br />,' <br />v ( f <br />REMARKS <br />SAM (signature) <br />'-ZpgAu <br />con <br />ers <br />samp e <br />type Sample ID <br />Date Time Grab comp.,Re <br />in ui d by (signature):_ <br />1 0-0'1>vi <br />e <br />Time <br />Received by t e): <br />Date <br />Time <br />Relinquished by (signature): <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 />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: ,tet <br />Start: Z -'G)e) Finish!j--ZZ <br />Total Hours: <br />Driving Time: <br />Start: =/ S Finish: <br />Total Hours: <br />Mileage <br />Garoti Graphics (209) 5273667 <br />Approved By <br />