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GeoAnalytica.l Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 57�-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY <br /> 1233 <br /> Client nC —r2 i7L-, .t�;;�.y, 4,. .. _.. — Phone— <br /> Address <br /> hone Address ! +, ^' Z, CC to;_ <br /> i Zip <br /> PROJECT ID ANALYSIS <br /> No. <br /> }�]A,,)A,trOf A <br /> con. V <br /> SAMPLED BY:(signlural lain- <br /> ars �f b REMARKS <br /> sampT4-t- <br /> I DRO <br /> Date Time Sample Location <br /> [Gr" caro. <br /> TA r iw ar �} I <br /> =CC 1 <br /> ' 1�n w 1 � k •U t <br /> naw 3 x v L` �, <br /> n�w3 ^=Vj- <br /> k, <br /> ria <br /> A L6i 9 •rr.. - <br /> Z' <br /> Relinquished b (signature): Date Time Received by(signature): V Date Time <br /> elinquished, ignature): 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): pate Time <br /> Relinquished by(signature); Date Time Received by(signature): Data Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br /> f Gsrau 014phks(209)5273M7 <br /> �i <br />