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GeoAnalytical Laboratories, Inc. 11 <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 3602 <br /> W <br /> Client Phone <br /> n, <br /> Address CC to: <br /> u <br /> Zip <br /> A <br /> PROJECT ID ANALYSIS o O <br /> No. O 7 <br /> D _ STM ofon- <br /> 4 a. <br /> O <br /> SAMPLED BY: (sign ut tain- 00 <br /> ers / REMARKS <br /> samp e <br /> type Sample ID <br /> Date Time Grab Cop. <br /> - mS ; I iq� lY, x x x z 1,IF -13 <br /> X35 i 45IV rl O t I X 2-� <br /> ILiD IK i tAks+ Q \ I x. IIX 20 Z 1 <br /> ..r <br /> Relinquished by ur ): D Time R ived by(sign u e): at Time <br /> I ff��.l j 3�� q:�a ! <br /> Relinquished by(sign- -re): Date Time Rec I ed by(signal#): D e Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> t✓ <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:0,%N0 Finish:9,00 Total Hours:Y�L Start: Int :4• 5 Total Hours: <br /> Mileage Approved By <br /> Garoll Graphics(209)527.3667 <br />