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pR 1r'� CD <br /> GeoAnalyticalkboratories, Inc. CD <br /> 1405 Kansas Ave., Suite A yNviapNMENY°plior�e`�(209) 572-0900 0 <br /> Modesto. CA 95351 pt;RtJds�SERv;ax #(209) 572-0916 <br /> CHAIN OF CUSTODY - <br /> Client Phone <br /> Address CC to: 1 !:Ae Zi1�Ctom_ <br /> Zipy!JZl_ t.1 <br /> PROJECTID tc>L40 L(Dti-yr`E r ESLa/Tj. ANALYSIS <br /> — <br /> 38L0 of <br /> t�aV of <br /> SAMPLED BY: i CO^- /J~ <br /> taro- <br /> - ers � REMARKS <br /> sample <br /> Date Time Sample ID <br /> Grab cop. ✓ // <br /> - Z- <br /> t aC a <br /> I <br /> -L eL YG a <br /> Relinquished by(signature): Date Time eceiv Ignatur at Time <br /> 41Relinquished by.(signature): Date Time Received by(signature): (Dais 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:M30 Finish:/Z Total Hours: Start: /j,'00 Finish: r%CTO Total Hours: <br /> Mileage r Approved By f <br /> GaW Graphics(209)$27.3667 <br />