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y <br /> GeoAnalytxcal Laboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-09DO $ <br /> Modesto, California 95351 1~axrf/{209) 572 041fi <br /> 2418 <br /> CHAIN OF: CUSTODY <br /> f <br /> Client�^'t C�9:t� �rT✓�✓ `� --- <br /> Phone-5-7z �y•r]O <br /> Addrez;s 7 Z y r ti ti �a _ CG to: <br /> OC�CYo .ff Zip <br /> PROJECT ID I No ANALYSIS <br /> 7lK NrrS V r 1:C� SG�Q�� al <br /> con. <br /> SAMPLED BY: ignalure) lain. <br /> ors REMARKS <br /> $ampa �^ <br /> Pe Sample IP <br /> Date Time "I �o <br /> Pr,o Lam . I I n <br /> -11-5 �� I� w� r�v�� i 1 I C• � ! dao <br /> C 3 P )o <br /> I <br /> I I <br /> 1 1 1 1 I I I f <br /> I I I I <br /> i I I I I I <br /> I _ II —+ <br /> I I I I <br /> I I <br /> TT 17 <br /> I l I I I I I i l l <br /> II <br /> ! I I <br /> r <br /> Refi uishe s y nature: Dale Tim? Received by as ature} �/''� rr� Rate Time <br /> ? = � <br /> Relinquished by(signature); Date Time I Received by(signature): l/ Date Time <br /> Fa5ricuished by(signature): Dale Time Received by(signature): Date Time <br /> F%6:rquished by(signature): Date Time Received by(slgnature): Date Time <br /> I - <br /> ( Recnquished by(signature): Date Time Received by(signature): Date Time <br /> t <br /> &-I=Time: Driving Time: <br /> s-la:_- Finish: Total Hours: Start Finish: Total Hours: <br /> i <br /> 11.iIa2 Approved By <br />