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GeoAnalyticaltaboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 <br /> Modesto, California 95351 <br /> t3� V <br /> CHAIN OF CUSTODY AUG 14 19A1 <br /> ENVIRONMENTAL HEALTH <br /> ClientPhone PERMIT/SERVICES <br /> Address <br /> CC to: <br /> Zip <br /> PROJECT ID ANALYSIS <br /> No. <br /> 1OCoSC'E of <br /> con- X <br /> S (signature) tain- <br /> ers REMARKS <br /> sampe Q <br /> t Sample ID <br /> Date Timer <br /> Ll 6roo to <br /> t 1 1 ? ( Q <br /> v .6r tt ) hV 1-0 <br /> 'VUDX t I tCd rX <br /> M%1- elst 1 O <br /> 0--d-by <br /> (signature): spa Time Received by(signa� �atry Time <br /> 'TPS 5•os 5141 5 :OS <br /> (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 /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: t ll4� Finish: Zr,1 <br /> XJ_ Total Hours: Start: (� — Fini 1 : Total Hours: <br /> Mileage Approved By ffaA <br /> carob Graphics(L)52]368] <br />