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GeoAmalytleal Laboratories, Inc. ro <br /> 1031 Kansas Ave. Phone (209) 572-0900 0 <br /> `{ Fax 11(209) 572-0916 ;3� <br /> Modesto, California 95351 `t <br /> CHAIN OF CUSTODY <br /> ^ <br /> Client Phone <br /> f <br /> Addressr '/Ox 's — CC to: <br /> G — <br /> PROJECT ID GL G/h.b_5 / No. ANALYSIS <br /> cor• j <br /> e SAMPLED BY: (signature) to REMARKS <br /> / gf5 <br /> same a <br /> II e sample ID <br /> Date Time �,. C—c O <br /> 7 L/ e{off <br /> Ile wTAW <br /> f w L <br /> ,� w - 9 <br /> r <br /> i <br /> ` Date Time Received by(signat Date Time <br /> Relinquished by(sign tura): <br /> f' Date Time <br /> Relinquished.? gnalure): ate Time Receiver?by(signature): <br /> Relinquished by(signature): <br /> Dale Timo 'deceived by(signature): Date Time <br /> lime <br /> ReAnquished by(signature): Tis <br /> Date m' Received by(signature): pate <br /> Relinquished by(signature): Date Tirr 1 Received by(signature): <br /> Date Time <br /> Site Time: Dr;ging Time: <br /> Start: Finish: Total Hours: Start: Finish Total Hours: <br /> leage <br /> Approved By <br /> I <br /> -.,GarQH Graphics EM)527.3587 <br />