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GeoAnalytical Laboratories, Inc. m <br /> • 1405 Kansas Ave Phone (209) 572-0900 0 <br /> Modesto CA 95351 9 a Fax #(209) 572-0916 a <br /> CHAIN OF CUSTODY No 01725C 43- <br /> IN <br /> r <br /> Client Phone <br /> Address CC to O <br /> Zip <br /> PROJECT ID / ANALYSIS <br /> No <br /> of <br /> P ED BY nature) Con- <br /> SAM <br /> �` ers REMARKS <br /> sample ir <br /> TypDate Time a Sample ID <br /> Onb Comp <br /> '4 n r <br /> ►�' f 1 <br /> ey <br /> Mon <br /> ✓ } % i 1 <br /> , l - <br /> ! <br /> quash d b igna r Dt Time Rec ived ignature) Date Time <br /> Relinquished by ignature) Date Tim eceived by(signature) to Time <br /> Relinquished by{signator Date Time R by (signature) Date Time <br /> Relinquished by(signature) ate i eceived by(signature) Date Time <br /> Relinquished by (si�ems—'- Date Time Received by(signature) Date Time <br /> its Time Driving Time <br /> tart Finish Total Hours Start Finish Total Hours <br /> Mileage Approved By <br />