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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 4 <br /> Client eo A-,Os i1 <br /> Phone <br /> Address c.y CC to: <br /> Zip <br /> PROJECT ID ANALYSIS ,. <br /> PS FD No. <br /> SAMPL D BY: (signature) fa� . <br /> ars �. nV�� %:•', REMARKS <br /> sample <br /> type Sample Location 0'�' /� Q s^ S'� Q(. /1.Q FIfJ{�, - <br /> Date Time <br /> I'J 2 x x X <br /> Relinquis d by(signal ): Date Time Received by(sign re)' Dote , Time <br /> °��/9 7.'20 <br /> Relinqu' hed by(signature): Date Time Received by(sig ure): or D to Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Stan: Finish. Total Hours: Start: Finish: Total Hours: <br />