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GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Ave , Suite A Phone (209) 572-0900 0 <br /> Modesto CA 95351 Fax #(209) 572-0916 <br /> 16890 <br /> CHAIN OF CUSTODY <br /> Client <br /> Phone— <br /> tAddress a y n CC to <br /> 6''- Zip 45-7V <br /> PROJECT ID ANANo <br /> LYSIS ti <br /> SAMPLED BY (signs re con- <br /> ers REMARKS <br /> ' <br /> t lain- <br /> sample Sample ID <br /> Date Time crec camp <br /> 1 zl II S S NI w 3 -- tS14 <br /> W 3- W 2- <br /> IZ 8 w 2 — F3lg l <br /> 12 2 t.I Z -- <br /> 1nZQq Q <br /> 1 JD(- OG <br /> ' 5- <br /> 11110 5- <br /> 1113 1 w 5 - w z t: —? <br /> 113k IH w <br /> w (P OC19 <br /> I ro ) w _ 9 I'm i --5 t OO <br /> L512. MW 1 — G- <br /> ' <br /> Relinqu)$he by(si at a Time R eived by(signature) a Time <br /> shed by (signature) Date Time Received by (signature) Date Time <br /> Relinquished by (signature) Date Time Received by(signature) Date Time <br /> ' Relinquished by (signature) Date Time I by (signature) Date Time <br /> Relinquished by (signature) Date Time Received by (signature) Date Time <br /> ' Site Time Driving Time <br /> tart Finish Total Hours Start Finish Total Hours <br /> 1� <br /> Mileage Approved By <br />� 1 <br /> i <br /> i <br /> Garoh Graphics(2491 527 3667 <br />