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t , <br />GeoAnalytical Laboratories, Inc. <br />1031 Kansas Ave., Suite C Phone (209) 572-0900 <br />Modesto, California 95351 Fax #(209) 572-0916 <br />Client.co/ypok I - To 43, lock <br />Address <br />CHAIN OF CUSTODY <br />Zip <br />119UO5 <br />e r- 9, p4-6-� <br />Phone <br />CC to: <br />5AwTo&VV1/Y Che DrT, 6ftlfs <br />PROJECT ID %) <br />55 <br />of <br />ANALYSIS <br />l� <br />/ <br />/ <br />I <br />REMARKS <br />SAMPL BY: (signal <br />G <br />con- <br />tain- <br />ers <br />sample <br />Date T e pe Sample Location <br />13 Comp. <br />nquished by (si e): <br />Dto <br />Timep <br />R by (s' ature <br />to <br />/1 c: <br />Time <br />R ' quished by (sign re): <br />1 <br />ate <br />Time <br />Received by (signature . <br />Date <br />Time <br />elinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: <br />Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Garoli Graphics (209) 527-3667 <br />