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1 <br /> CHAIN OF CUSTODY RECORD <br /> GEO-PHASE Geo-Phase Environmental Inc. <br /> 2937 Veneman Ave., Suite B-240 <br /> ENVIRONMENTAL Modesto, CA 95356 <br /> (209) 569-0293 <br /> Fax (209) 569-0295 Lab' Need EDF: Page <br /> A d 7^ Y❑ x� Jnr_ <br /> Job Number '.O/.#p pp Project Sa�m'e'+ <br /> Samplerture) Site Address <br /> SAMPLE I.D. DATE TIME NUMBER TYPE SAMPLE r } � � ,� <br /> of Crab or MATRIX REMARKS <br /> Containers COM osite �' •� <br /> S <br /> Relinqui to By:Sigt ure) Datet !me Recieved By:(signature) Datel ime TURNAROUND WIE <br /> 24 HO ' ❑ <br /> Relinquished By:Signalu4l' Recieved By:(Sigumure) Datell ime <br /> 48 . OUR ❑ <br /> Rdinquished B?: KW.ulure) Date"(ime Redeved By:(Signature) DatcAlme ) 5D7AV ❑ <br /> /d <br />