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raboratories, <br /> WGeoAnalytical Inc. CD <br /> 1405 Kansas Ave., Suite A Phone (209) 572-0900 o <br /> Modesto. CA 95351 Fax #(209) 572-0916 <br /> 16536 <br /> CHAIN OF CUSTODY <br /> SClient V'-"cc Phone ~l <br /> Address CC to: <br /> Zip (� <br /> PROJECT ID Q�—3 2,kc\ ANALYSIS //``��Al <br /> No. VCP1 <br /> r. ; ofcon- 0V fy� <br /> SAMPLED BY: (Sig i to n- (� � ' <br /> ers REMARKS <br /> sample <br /> hype I Sample ID <br /> Date Time Grab comp. <br /> x G� 3 <br /> u <br /> X C G 1 69 <br /> 13 �( X <br /> x <br /> > �{ l 119 <br /> Relinquishe si "ature): gate Time R eived by(signature): Date Time <br /> Z 121 <br /> Date Time Received by(signature): Date Time <br /> Relinqui ed by.(signature): <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: Finish: Total Hours: Start: Finish: Total Hours: l <br /> K? l <br /> �J <br /> 'A j <br /> Mileage Approved By <br /> Garoli Graphics(209)527-3667 <br />