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GeoAnaiytieal Laboratories, Inc. Phone (209) 572-0900 <br /> �a- 1031 Kansas Ave., Suite C <br /> u <br /> Modesto, California 95351 Fax #(209) 572-0915 <br /> 0 � .. r <br /> CHAIN OF CUSTODY <br /> Client Phone. <br /> Address '�- " CC to: <br /> ✓i c) Zip ;, _,37 6 <br /> PROJECT It) <br /> ANALYSIS <br /> Na. <br /> c�n'r T�tw th'G. �G�� �T- of <br /> can- <br /> SAM�P-L�ED BY:(signature}, rain• V (✓ REMARKS <br /> 1� rR a1t.. ■ �"'�'. erg yL <br /> Y! <br /> $ <br /> ae Sample Location e 'w <br /> Date Time ~ <br /> ane ca*v. <br /> ry t!y y' <br /> �; <br /> a-; 11 AM ! <br /> jr <br /> ^ <br /> W. <br /> 4w ReII ulshed by( 9 Date Time R i ed by(signaturekid e <br /> (signature): i, 7 <br /> y( g Date Time <br /> Relinquished by(signature): Date Time Received b s nature): <br /> � Relinquished by(signature): <br /> Date Time Received by(signature): Data Time <br /> t+3 <br /> Relinquished by(signature): Data Time Received by(signature): Date I Time <br /> i <br /> iDate Time <br /> Date Time Recaived by(signature): <br /> Relinquished by(signature): <br /> w+ Site Time: Driving Time: <br /> Start: Finish: Tow Hours: <br /> - <br /> ---Finish:------Total Hours:__ -- --- -_-- - — <br /> �h.A 5:LTrig 't C, C, �o <br /> G+mli CrapAm!(om)5273667 <br />