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5` <br /> •A 4 <br /> GeoAnalyfical Laboratories Inc. <br /> Phone (209) 572-0900 <br /> ` a 1031 Kansas Ave., SuitC Cr Fax #(209) 572-0916 <br /> Modesto, California 95351 <br /> 1688 <br /> CHAIN OF CUSTODY <br /> 5>— > Phone S 7- - <br /> • Client_��--�.Gc`'-1��----`�'— <br /> cC to: <br /> Address �� <br /> �' �� ANALYSIS 0-059-05 <br /> PRO ECT 10 ra°. <br /> SAMPLED BY: (signature) rain- REMARKS <br /> ors <br /> SimBe Sample Location f <br /> . Dale TIme e,ic Cane.. <br /> 3 ,/' r-�ter/ _ 3 Y Q"L <br /> 77 <br /> Date Time <br /> Relinquished b (signature): Date Time Received by(si a els , <br /> q0 <br /> Date Time <br /> ` Date Time Received by(signature}: <br /> Retinquishe y(signature): <br /> Date Time <br /> • Date Time Received by(signa,ure): <br /> Relinquished by(signature): <br /> - sI nature Dale Time <br /> Relinquished by(signature): <br /> Date Time Received by( "g ): <br /> sr Date Time <br /> ime Received by( "9nature <br /> Relinquished by(signature), Date Tk <br /> Driving Time: <br /> Site Time: Start: Finish: Total Hours: <br /> Start: Finish: Total Hours: <br /> Garth Grsphus(209)5273667 - <br />