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GeoAnalytical Laboratories, Inc: <br /> CD <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY . 7 41 <br /> Client <br /> Phone I <br /> Address CC to: ray E WG <br /> Zip --SA9--5O- AD y I Q Com)k=y <br /> l �7Tnz�i 0 N-',; Cts2.ol <br /> PROJECT ID ANALYSIS <br /> rrtl.] t REQ 1 �RtUy4 � f <br /> SAMP fain- l <br /> : (signatu�)� `}' <br /> ers � T Gt REMARKS <br /> sayp a 1� <br /> Sample ID <br /> Date Time ✓'/ <br /> Grab C.,. <br /> _ F <br /> tl ' <br /> 15 X -Al ' 1 x X X X FZob7 5 <br /> r <br /> i r <br /> F, .J.C r- <br /> kE Relinquished by(signature): Date Time Re (signature)::E ate Time <br /> Relinquished by(signature): Date Time Recei by(signature): D e Time <br /> 1, <br /> i( <br /> Relinquished by(signature): Date Time Received by(signature):` Date Time <br /> a <br /> ;i <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> i <br /> Relinquished by(signature): Date Time Received by(signlature): . Date Time <br /> Site Time: Driving Time: <br /> Start:/!, Fnish:(Z ;-5&Total Hours: f Start:jQ.�� ?Finish js ours: <br /> I; <br /> Mileage ARproved 'fay Q r <br /> Garoli Graahics 121391 527-3667 ! �I <br />