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GeoAnaiytical 'L�aboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax x/(209) 572-0916 <br /> 1 <br /> CHAIN OF CUSTODY 61, 0—j <br /> v <br /> ' Client Phone <br /> AddressCC to:,& -e-lG r' t�-r7 re�?/1c.t'r <br /> Zip �?✓'!,�'�j;t �..�.�� <br /> 0 fjicc �'✓Ari�L`7 <br /> ' PROJECT ID <br /> ANALYSIS <br /> SAMPLED Y; (signs re) con- <br /> �(/(r�(✓ tern• F` <br /> ers � REMARKS;' <br /> samp a <br /> ' rpe Sample ID <br /> Date Time Grab C4-p.{� <br /> d � !!/a�5 u //� f � >✓ y 2l 8 <br /> q <br /> 2 ! v <br /> 1� 79 -fir- TEXH <br /> e, /46 Th(Y-C"z -mss <br /> ished by(sign ure): Date Time Received by ignature): /t /I /� pale7 7/Time <br /> c r (/ , !'n 7 7:Cio/� <br /> Relinquished by(sign r Date Time Received y (signature):V ` Date Time <br />' Relinquished 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 Received by (signature): Date Time <br /> Site Time: Driving Time: <br /> Start: 100 Finish: //I Total Hours: � Start: qI�� Finis : Total Hours: <br /> !" 1 � <br /> M;6sagerl <br /> All <br /> Approved 8y 7�X4 <br /> V <br /> I <br /> Garth Gr*phica(2DV)$27.5667 ,1 <br />