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n� GeoAnalytical Laboratories, Inc. Lau Report# H 0 <br /> 1405 Kansas Avenue Phone(209)572-0900 �- V 0 10'0 1 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> _ Phone: <br /> Client: 77�19/'e / m e C CHAIN OF CUSTODY Fax: <br /> Address: To: —D <br /> fJ Zip <br /> Project ID 103V AlkPleK34-- GA1� � ✓�/1 <br /> (Print Name)��¢ <br /> Vy <br /> Sampled By (Signature) <br /> Container o G <br /> e X1 Lab ID# <br /> Sample typ <br /> ate <br /> De e Sample ID <br /> 27—�� Gab Comp Mwnx Type Sive 7. <br /> Z S <br /> 03- _ AQ&�6aU3a� <br /> Lo S ' it u 3 <br /> U, <br /> Remarks LC, <br /> �t <br /> Relmquished by (Signature) Date Time Received by (Signtuure) Date Time ,. <br /> Relinquished by S Date Time Received by (Signature) Date "time <br /> Relin d ry (Signature) flue Timeecrrve At Labo�ato by('iggatyre) D:te )"lime <br /> F�--- <br /> Site Time 3 2 Driv <br /> g, Ime: 'Total Hours <br /> Start: Finish: Total Hours: S rC Site Arrival x2= <br /> Mileage_ 2 � Alf, Approved <br /> „,,a, WA <br /> _ «...r.....�..«�...u.,r ,. .�...M.«.�... .,. w,..,.: .. iMqtr <br />