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r r r r� rr r r r <br /> CHAIN OF CUSTODY R*ORD <br /> GEO—PHASE Geo-Phase Environmental Inc. <br /> 2937 Veneman Ave., Suite B-240 <br /> Modesto, CA 95356 <br /> ENVIRONMENTAL <br /> (209) 569-0293 <br /> Fax (209) 569-0295 Lab Need EDS � <br /> Y❑ N Page of l <br /> Job Number O # Project Name <br /> 15/7. .4 r '2:0- r-we 9t) <br /> Sample (5z tore) Site Address <br /> roti <br /> SAMPLE I.D."" DATE TIME NUMBER TYPE SAMPLE <br /> of Grab or MATRIX REMARKS <br /> Container Com osite <br /> /0Y4 x <br /> - ffaL <br /> a V <br /> Relinquished By Signature) Date/Time revdB, (S�g re) Dat atu �m <br /> t � TURNAROUND TIME <br /> 60 9, <br /> 24 HOUR ❑ <br /> Relinquished By Sign (re) ate/Time ec.eved By (Signature) Da efCim <br /> 48 HOUR ❑ <br /> Relinquished By Signature) Datefrime Recieved By (Signature) ate/Time 5 DAY <br />