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CHAIN OF CUSTODY RECORD <br /> GEO-PHASE 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 i,a�. n«a El <br /> ( ) /f Y� Page Of <br /> Job Number N.O.# Project fame <br /> c;l>�- <br /> Sampler Si nature) Site Address <br /> �' O✓1{1`27 Y <br /> SAMPLE I.D ATE TIME NUMBER TYPE SAMPLE } c <br /> of Grab or MATRIX <br /> REMARKS <br /> Containers Composite <br /> 020 ( tr <br /> Relin(fi B. Sign re) Date/l" to Recic (Signature) Dateit'ime TURNAROUNDTIME <br /> 24 []OUR ❑ <br /> Relinquished By:Signature) DateA ime Recieved BN:(Signature) Date/fime <br /> 48 HOUR ❑ <br /> Relinquished Bv:Signature) Date/time Reciesed B,:(Signature) Date/'Dime 5 DAY e <br />