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� . .. .. .:-,*� tr: .�stis. ' y •a�-r� ;•�+,y,. ,�.. +»A2 �'-�.�� -t/:.x - �` <br /> GeoAnal tical Laboaratories � Inc': c <br /> y <br /> 1405 Kansas Ave., Suite A �' Phone (209) 572-0900 0 <br /> Modesto. CA 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY { <br /> Client <br /> r Phone <br /> .Address <br /> Zip If VVV <br /> PROJECT ID ANALYSIS ! <br /> cM5 A Wl% of <br /> SAMPLED BY• i a re °0"- _ <br /> con- <br /> F ers I; REMARKS <br /> Sample ID <br /> Date Time <br /> Grab Comp. <br /> X >< I 2S116 <br /> S 13 g -117-0 1 <br /> -5f3 <br /> ) sc !! M G, <br /> sc Z <br /> ;i x <br /> i <br /> Relinquishe y na re): Time R"''ve�d by(signature): i! Abate Time <br /> Relinquished Sy(signature): .. Date Time Received by(signature): 'i Bate Time <br /> Relinquished by(signature): Date Time Received by(signature): ` Date Time <br /> F <br /> Relinquished by(signature): Date Time Received by(signature): ' Date Time <br /> 1r <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> i, <br /> Site Time: Driving Time: <br /> i <br /> Start: Finish: Total Hours: Start: Fc is Total Hours: <br /> ii <br /> Mileage C2 'a Approved Byig <br /> I <br /> jGarok Graphics(209)527.3667 <br />