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k <br /> CD <br /> GcoAnaiyticai Laboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 7 <br /> Modesto, California 95351 Fax #(209) 572-0916 a <br /> 266f <br /> CHAIN OF CUSTODY <br /> Client <br /> -- Phone <br /> Address <br /> CC to:_ J <br /> ! _Zip <br /> i PROJECT ID ANALYSIS <br /> 5�A ) Z <br /> No. y <br /> al <br /> • SAMPLED BY:(signature) tw� `- <br /> REMARKS <br /> sem e <br /> ,a Date Time awe c« Sample ID <br /> Uj -5 -S6 <br /> 12 2--Z.,O S <br /> 2.1A I <br /> x <br /> -7 - 6 <br /> °70 <br /> f i <br /> Re In uished b s ature <br /> Y( to Time Received b , Time <br /> R uished by(sl nature): D e Time Received by(signatura): to Time <br /> w <br /> Relinqulshed by(signature): Date Time Recelved by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> is <br /> Relinquished by(signature): 7Dale _Time Received b nature T <br /> — Y(signature): Date -Time <br /> Site Time: Driving Time: <br /> i Start: Finlsh: Total Flours: Start: Finish: Total Hours: <br /> Mileage Approved By <br /> Gems ar.arxc+PM svaear <br /> i <br />