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CHAIN OF CUSTODY RECORD <br /> GEOTHASE <br /> Geo-Phase Environmental Inc. <br /> 2937 Veneman Ave., Suite B-240 <br /> ENVIRONMENTAL Modesto, CA 95356 <br /> (209) 569-0293 <br /> Fax (209) 569-0295 Lab: Need EDF: <br /> Ar. v❑ � Page <br /> Job Number O.p Project ame <br /> Sampler( nature) r We/So'" A2�A --4n-"k <br /> Site Address <br /> fZi 2 osy �o P opo �o`�'-(ZS <br /> SAMPLE I.D. DATE TIME NUMBER TYPE SAMPLE <br /> of Grab or MATRIX REMARKS <br /> Containers Composite <br /> a <br /> G - �o G X >> <br /> Relinquished By:Signature) Datell ime ed By:(Signator Date/fime TURNAROUND TIME <br /> 1012310iY 4 z4IioUR ❑ <br /> Relinquished By tiig ore) Daleffintc Recieved By:(Signature) (late/lime <br /> 48 HOUR ❑ <br /> 12clinquitihcA lig tiiy;nature) Datc11 illic Rt-cie%'cd B\: Ualr/limc 5 1)1% <br />