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f . <br /> GeoAnaleyticai Laboratories, Inc. <br /> 1031 Kansas Ave.. Suite C Phone (309) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY <br /> Client_�L,'r'( F e1V ;Q!1s/A:)1.;511.i Arm Phone <br /> Address— P- 6, CC to: <br /> PROJECT ID ANALYSIS <br /> t-�tilr�:'V ::j:e+✓ - i,J CSAR Si i1GV No. <br /> of <br /> SAM LED BY:(signature) ta,n-Lr <br /> C/ <br /> ( i-..1.2.. �V�'��Ft ere G REMARKS <br /> sampe <br /> Date Time type Sample Location �e 1 3 7—•of <br /> G.w Como . <br /> r <br /> V I An Uj IS F>30 3 3 Ii <br /> 11R W5 2 !/ I 83033 <br /> t ✓ ✓ <br /> i <br /> Rel' quished by(signature): Date Time Received {sig r to rme <br /> .r� <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Data Time <br /> Relinquished by(signature): Date Time Received by(signature): Data lima <br /> Relinquished by(signature): Date Time <br /> —Received by_{signature): -Date— <br /> site lime: Driving Time: <br /> Start: Finish: Total Hours: Start Finish: Total Hours: . <br /> FoR `t C.C. fQ -1Atrro, <br /> Garai,G,ap cs{20%527.7567 - - - <br />