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GeoAnalytical Laboratories, Inc. <br />1031 Kansas Ave. <br />Modesto, California 95351 <br />CHAIN OF CUSTODY <br />Client -F�10V-1014-7-0 �-- Dn —t._.. <br />Address V. c2. z!Qh� 63'3r, <br />CA Zip �152f% <br />co <br />Phone (209) 572-0900 0 <br />Fax #(209) 572-0916 <br />05466 <br />t <br />Phone <br />4XI� 4 —4482 C� <br />CC to: <br />PROJECT ID <br />No. <br />ofon- <br />tain- <br />ers <br />ANALYSIS <br />1 , <br />: <br />xc� <br />MDQ <br />REMARKS <br />SAMPLED BY: ignature) <br />samp a <br />type Sample ID <br />Date Time <br />Grab Comp. <br />I" <br />A <br />ir' M <br />.q -S xt'J'V <br />3 �,ZAr <br />0--- <br />oe <br />-� <br />� L -D. <br />/y <br />3: 3s r <br />Relinquished by (signature): <br />®' I <br />Date <br />%-2-5-12. <br />Time <br />3: <br />Received by (signature): <br />&A4 <br />Date <br />m1.x:11 <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (' nature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: Finish: <br />Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Mileage Approved By <br />Garoli Graphics (209) 527-3667 <br />