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i <br /> { GeoAnal tic alaboratories, Inc. <br /> f <br /> 1031 Kansas Ave. Phone (209) 572-09(}0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> 25H <br /> CHAIN OF CUSTODY <br /> Client } `"1 �CP ,. 30/ �C- . — 411 Phone <br /> ` X131 �. r - <br /> Address CC to: <br /> J,,a Oc�Pf ray Zip At►1 dui.l - <br /> I <br /> 9 <br /> PROJECT IDNo ANALYSIS �}. <br /> it �a , <br /> of Q <br /> con- <br /> SAMPl BY: (signature) r Iain- l go <br /> ers � ((� / REMARKS <br /> sample <br /> I DSample ID <br /> Date Time <br /> i <br /> 3 <br /> 4 <br /> ReliZu' <br /> shed by(signature): Date Time eived byi(si a e): ate Time <br /> C $•-2$ PV <br /> Relinquished by(signature): Date Time R ived by!(signs tu ): Date Time <br /> Relinquished by(signature): Date Time Received by;(signature): Date Time <br /> iL <br /> Relinquished by(signature): Date Time Received by"(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): nate Time <br /> �f <br /> Site Time: Driving Time: <br /> Start: ;3 a Finish: j J: b Total Hours: (•S Start: Finish: Total Hours: <br /> ff <br /> A, E <br /> Mileage i Approved By-, <br /> l <br /> GOW Graphka(209)627•3667 <br />