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f S - <br /> r <br /> G o-knalytacal .Laboratories, Inc. <br /> 1.031 Kansas Ave. Phone (209) 57?-09v00 <br /> Mo.dcsto, California 95351 o fi z Fax 11(209) 572-0916 <br /> 2r, <br /> �rv)J <br /> CHAIN OF CUSTODY " <br /> Client ��lr � <�.�./iLLr.��^ r� — Phonri [ `_ 'Z:�b <br /> Address `lam `� ��� "�" CC <br /> zip— <br /> PROJECT <br /> ip PROJECT ID ANALYSIS <br /> p1 <br /> � mn• <br /> SAMPLED BY: (si nature) rain• <br /> REMARKS <br /> ry sampla ID <br /> Dale Time I Ire. <br /> ,=5 <br /> ! I I <br /> ! I I ! • i <br /> - <br /> I i I <br /> -•- <br /> ` <br /> I <br /> Flolinquishedb (signature): Date Received by(sig ate Tiimn <br /> r/ I' a 5•�l <br /> Re]inquishe (sipnaturr,): I Gate Time I R"Ned by(signature): Dale I Time <br /> ERGr.nquivcheb;(si;ns!ure): I vete Time I Received by(signalure): Dere I Time ' <br /> E <br /> Relinquished by(signature): I Date ! Tome I Roce�ved by(signature): Date I Terre <br /> RelinauisP.t+r!4y(signature): I Date Time R+rcaivad by(signature): <br /> Dale I Tim► <br /> Site Tame: i t)riring i me: <br /> Start: Finish; Tctat Hours: Start: Finish: Total Hours: p, <br /> - - <br /> Approved BY ------ --- --- -- - - - - - <br />