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CHAIN OF CUSTODY RECORD, <br /> GEOTHASEGeo-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 /> ^ O Y El Page of <br /> Joh Number P.O.# Project Name / 01 <br /> Sampler(Signal re) Site Address <br /> ;2/000 Q rli r/I� �/`G c roti roti oma, �G� <br /> SAMPLE I.D. DATE TIME NUMBER TYPE ISAMPLE F� �+ <br /> of Crab or MATRIX ��' '�' 4 " REMARKS <br /> Containers Composite <br /> � 3 S rrr <br /> yZ61S <br /> 3 y <br /> 13 7 <br /> w� X <br /> 7- <br /> 10 6 C6 Pr <br /> T,s.. <br /> Relinqui ed By: Signature) Date/time Rec' 'ed y: Si nature <br /> ( g. Dat Ti TURNAROUND TIME <br /> 2 Jo(C <br /> -fJ- <br /> 24 HOUR ❑ <br /> Relinquished By:Signature Date/Time Recieved By:(Signature) Datc/Time <br /> 48 HOUR ❑ <br /> Relinquished By:Signature) Date/lime Recieved By:(Signature) Date/lime 5 DAY <br />