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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 <br /> 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> t2 <br /> CHAIN OF CUSTODY 31 6J <br /> Client cam '"" � a Phone <br /> Address ►i N 19�z. �', CC to: <br /> C <br /> PROJECT ID vT ANALYSIS <br /> N ! <br /> t <br /> SAMPLED BY: con- <br /> signature) tain- <br /> �h•==-- ers �O ' :�/ REMARKS <br /> sample <br /> type Sample ID L� <br /> Date Time crab Comp. <br /> 'os q-1 .L of cK_ 3 3 l <br /> Relinquished by(signature): Date Time Received by (signatu �at Time <br /> i <br /> R ,shed by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by(signature): Date Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by (signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start:f 2.Ob Finish: 412.2-0. Total Hours: 'XV <br /> Z <br /> Mileage Co L--.S- r., 3-,="L-- _ Approved By <br /> Garoh Graphics(209)527-3667 <br />