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GeaAnalytical Laboratories, Inc. Lab !ort# <br /> 14aS Kassar Avecue - Phow M9)572-O 00 <br /> Wndest%CA 95331 FAX(209)577.(1916 <br /> i y Phone: <br /> CLicaC� a•GL _ CHAIN OF CUSTODY Fax: <br /> a Address: 3s -;�CAdfz,n/ /P To: <br /> {+ Zip 95 Y40 �p)C :!!�"'ey'nAft <br /> Project. IQ - L Pd. YAPj4 G y <br /> (Print Name) <br /> Sampled By <br /> N _ (signa urs' Container Z� 4 <br /> r . Lab Ill✓1 <br />�i' Sam-11C[ype o <br /> al Date Tune Sample ID Type Sim g <br /> Gab C,ne sr,u. <br /> z Z-`! :3z K r Yb <br /> J ' ! / 17u <br /> w <br /> J <br /> u <br /> U <br /> � I <br /> Remarks <br /> a <br /> •1 <br /> ` m e y (SibmDate Time Received by-(S-xpulurc) Date Time <br />_W Reliayui by ignatum) Date \line Raceived by(Sign m) zi <br /> Date nc <br /> C.0 <br /> Relinquished by (Sigrmture)« Date 'raw Received At Laboratory by(Signatum) Date Tint <br /> ti <br /> - =Sim7inte: /S ME- SSht z Ti t� Site x2= / <br /> Sure Finish: Totai Hasa: <br /> Mieage v.•. ApprovedBv—jM14,-- <br />