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3 GeoAnalytical Laboratories, Inc. <br /> CD <br /> 1031 Kansas Ave. Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #I(209) 572-0916 <br /> 4t <br /> CHAIN OF CUSTODY 4497 <br /> j Client(`%i �� i Y .'S Phone <br /> Address CC to: <br /> I <br /> Zip C� <br /> s <br /> PROJECT I'D ANALYSIS <br /> 1 1 <br /> No. <br /> SAMPLED BY: (signature} r /4 �' a�. t�^ <br /> ✓j / t 1, REMARKS <br /> sample l {$ <br /> type Sample ID V <br /> Date. 'Time <br /> Gi¢n Gom^ k <br /> LA <br /> 9 1 A. <br /> I ! I I I I <br /> I <br /> I . I <br /> RelinquisYhed ti (signature): j j / -I i ere Time Received by (signat6lrej'// Dale` Time <br /> Relinquished by(signature): % ' Dale Time I ReceN,ed by (signature): % _ Date Time ' <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by(signature): Date Time Received by (signature): Date Time <br /> Site Time: .— Driving Time: <br /> 51aR:� Finish: Total Flours: `J Start: Finish: Total Hours: <br /> Mileage �—� �� Approved By <br /> :k <br /> Gf,Oli G,aph[cs(2D9}527"_667 . <br />