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GeoAnalytical Laboratories, Inc. <br />1031 Kansas Ave., Suite C <br />Modesto, California 95351 <br />Client C67 N106 2 Aij ,P— Zf9C/� <br />Address <br />CHAIN OF CUSTODY <br />Zip <br />Phone (209) 572-0900 <br />Fax #(209) 572-0916 <br />1984 <br />a -F SpA s <br />Phone <br />CC to: <br />PROJECTID <br />No. <br />of ANALYSIS <br />cam • <br />ers <br />�, <br />� � r <br />�� r <br />'531`? -09 <br />REMARKS <br />n r <br />SAMP D BY: (sige) <br />,amp le <br />DateOne Sample Location <br />Grab Comp. <br />11 16 I -A s45-�,.. <br />:t 2 45- A.1 <br />A tZo s — r/< '-- <br />X A <br />F <br />(thl (!.24 e .2-3 537 - Z�C3- 5 <br />13 6k,) :3 <br />015 1:21 X 1 a3 5 5- - <br />X/ -K <br />t <br />1-32 x 12 3 S5 fcA-A-1 <br />36 xi-�'- &, <br />I VL <br />Relin ished by (si re): <br />Date <br />Time <br />Received y (signature): <br />ate <br />Time <br />Reli shed by (sign re): <br />Date <br />Time <br />Received by (signature): <br />Date <br />fime <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 />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />