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GeoAnalytical Laboratories, Inc. <br /> 1031 Kansas Ave., Suite C Phone (209) 572-0900 <br /> Modesto, California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 18 i I <br /> Client EN'S P Phone <br /> Address3Z- CC to: <br /> Zip <br /> PROJECT ID ANALYSIS <br /> No. <br /> of <br /> con- <br /> s D Y (signature) tain- <br /> ers Q� REMARKS <br /> sample <br /> type Sample Location <br /> 3 <br /> Date Time Grab Comp. <br /> tRlriin shby ( il nate): at Time ive ( i atur ate Time <br /> zo 2 3p �shed by (signature): 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): Date Time <br /> Relinquished by (signature): Date Time Received by (signature): Date Time <br /> Site Time: Drivin <br /> Start: Finish: �aS b 6 +'� �_ rt: 1' ss Finish: Z. O Total Hours: <br /> Garoli Graphics(209)5273667 <br />