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i <br /> GeoAnalytical Laboratories, Inc. Phone (209) 572-0900 <br /> 1031 Kansas Ave., Suite C Fax #(209) 572-0916 <br /> Modesto, California 95351 <br /> 16 83) <br /> CHAIN OF CUSTODY <br /> Phone S,�9_ l.� <br /> Client O <br /> CC to: <br /> Address <br /> Zip___ <br /> CD't3�-Q3 <br /> ANALYSIS <br /> PAGJECf ID �t9.>zn7�G.Q, Gam• ria. <br /> r T <br /> can•oV <br /> SAMPLED BY:(sl nature) tu- �� REMARKS ! <br /> ars ! <br /> aim Sample Location �($ <br /> Date Time a,a awn <br /> JIY5- n G a' <br /> c a u/ aE2 ! X <br /> r 1a AA cry S �' <br /> a 4S 14 t,r/ H H <br /> apo 1� <br /> 330 <br /> Wo w <br /> e Dale Time <br /> si ): fy Data Time Received by( _ !�` ,go <br /> -- Relinquished t�((signature): s i)_!/ s.r�b J <br /> /' Date Time <br /> Relinquished signature)- Date Time Received by(signature): <br /> - Date Time <br /> Relinquished by(signature): Date Time Reeoived by(signature): <br /> Relinquished by(signalure): Date Time Received by(signature): <br /> Date Time <br /> Relinquished by(signature): Date Time Received by(signature): <br /> Dale Time <br /> Driving Time: <br /> Site Time: Finish: Total Hours: <br /> Finish; Total Hou s: Start: <br /> Gard)Grapcz itaci 527-WT - <br />