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! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! <br /> (GROUND ZERO 1172 Kansas Avenue Page—L—of <br /> ANALYSIS,INC. Modesto,CA Chain of Custody <br /> (2119)5224119 Fax 5224227 <br /> K-mail:gzaCagroundzeroanalysis.com <br /> Analysis Requested Laboratory: <br /> Billing TO: Ground Zcro Analysis,Inc. yk <br /> Project#: Project Name: / <br /> C ' f ne ' Purchase Order# <br /> Site Address: <br /> 2SIUi Cl�rr / 5�q �vr • C� `J <br /> t Turnaround Time: S Standard <br /> Global ID No.: EDF Report: t7 Yes filLN0 O 1 day 2 day 3 day 5 day <br /> Giem:Ground Zero Analysis, Inc. RpIA110: GrOUd ZeoAneyslsjm. 1� <br /> Owl Admess:1172 Kansas Avenue TgwolEvenP. GWM syeMomladoe odnme ome. W V Email Lab Report(.pdf): "Yes O No <br /> n <br /> arv.sme,zm:Modesto,CA 95351 aiemEmad:gza®groundzeroanalysis.com 3 F Email EDF Lab Report(.zip): ❑Yes 1#No <br /> aie,nphene:(209)522-4119 MwFe.:(209)522.4227 o rn m � <br /> Mail Lab Report: ❑ Yes No <br /> U ^ <br /> Sampling Into: Sampled By(initials): ,G7AT' 1 o .F w 11L`V <br /> Date Time EDF Field ID Sample I.D./Description tion!Location �' Special Instructions/Remarks <br /> p p z° a <br /> y 1� r5 %131 - l wiz°i3F I o«/, X&19 �r.++e <br /> — <br /> to 7 <br /> 4- via W <br /> g at a Print Name Company Date: Time: <br /> Received el,rpuie � 1 <br /> i��+5uv 0 Qy7 /S <br /> fleceivedlfleliipuiahetl by:. ,n' �_) f 1 n <br /> Received I Relhpuiohed`by: <br />