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.v GeoAnalytical Laboratories, Inc. Lab Report # D <br /> 1405 Kansas Avenue Phone(209)572-0900 �A jt of Z <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone as oo <br /> Client 14-FA-CMF, tLi -Ifc-5 CHAIN OF CUSTODY Fax 66- 1730 <br /> Address 205-0 To L�4-/z.,�-� - <br /> _. SC4- - Zip 95Zo-5- <br /> Projcd ID s �C.nI JU0q- <br /> (Print Name) <br /> Sampled By k <br /> (Signature) Container <br /> U Lala ID# <br /> Sample type o <br /> Date Time Grab Comp Matnx Sample ID type SI7e z° <br /> !Ia Iz 30 1-J- Ce $ 1C. \10R <br /> IZ 3s� n4 voA 3 <br /> Remarks <br /> Rc i r d by (Sign re) 1 <br /> 1 <br /> 1 <br /> 'D4717 f�ime' Ire ed by(Signat ) I Date ,I inle <br /> Rclinquish by (Signature) Date ! Time Rc erved by(Signature) Date Time <br /> `Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> --Srie Time Driving Time Total Hours <br /> Start Finish Total Hours Start Site Arrival x2= <br /> Mileage Appled By 0 <br />