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Av <br /> r <br /> m <br /> GeoAnaiytical. Laboratories, Inc. CD <br /> 1031 Kansas Ave Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax 11(209) 572-0916 <br /> CHAIN OF CUSTODY 4230 <br /> c <br />' <br /> Client <br /> Phone 02 <br /> Address CC to U <br /> ZIP <br />' PROJECT ID Na ANALYSIS 1 <br /> r q at <br /> on <br /> SAMPLED BY (signr �}rJe iy ^r tam ' *I- REMARKS <br /> er <br /> sa e <br /> PaSample !D � <br /> Date Time Q,�b Ca,,,, <br /> � a <br /> J <br /> Date Time <br /> Rate .me Receby natu ®) <br /> AeNnquls�dp gn ure) ) ] <br />' Relinquished by (signature) / / Date Time Received 6y signature) Date Time <br /> Relinquished by (signature) <br /> rV/ pate Tlme Received by(signature) Date Time <br /> Relinquished by (signature) <br /> Date Time Received by (signature) Date Time <br />' Relinquished by (signature) <br /> Date Time Received by(signature) Date Time <br /> Site Time t ! Driving Time / <br /> Start Flnlsh Total Hours _ it"' <br /> Start Finish <br /> I Total Hours <br /> 1 <br /> Mileage `> '� Approved Ry v� <br />