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GeoAnalytical Laboratories, Inc. <br /> I031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> — CHAIN OF CUSTODY 1, 3 9 <br /> Client_�)`l 1 ` Phone Z <br /> Address�1 U `� ` �2 CC to: <br /> Zip <br /> PROJECT ID ANALYSIS <br /> ` No. <br /> of <br /> SAMPLED BY: (signature) <br /> REMARKS <br /> sarnp e r. � <br /> type Sample Location l/ <br /> Date Time r— ic: m Z i - U <br /> E � <br /> 44- <br /> 1i i 7]i 1 <br /> Rel i quished b� (sign ture r` Date Time ei e' y ature): ate T Time <br /> G <br /> Relinquished by (signature): Date Time Receive -by�signature): Date Time <br /> Reiinquished by (signature): Date Time Received by (signature): Date Time <br /> v <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> i <br /> 1 <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Site Time: Driving Time: <br /> - Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> Garok Graphics(209)527-2667 <br />