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GeoAnalytical oratories, Inc. <br />1031 Kansas Ave. <br />Modesto, California 95351 <br />CHAIN OF CUSTODY <br />Client t=� <br />Address •7 c.-T;.:,u ? = • <br />US Zip fir"' a <br />Phone (209) 572-0900 <br />Fax #(209) 572-0916 <br />X5455' <br />Phone �,n�.. t -1(t^ •• tr{ li�iy <br />CC to: <br />PROJECT ID <br />Ceiv\ W .Tet_- <br />ANALYSIS <br />o, <br />Can <br />lain- 1 li <br />ers N <br />REMARKS. <br />SAMPLED BY:nature si <br />BY:(signature) ) <br />sample <br />Date Time Sample ID <br />"ti: <br />-, `e -• • P <br />Relinquished by (signature): <br />ID.-- <br />Date <br />1-711 <br />Time <br />Received by (signature): , <br />Date <br />s At <br />Time <br />(Q-3 <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (sig ure): <br />ate <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />m <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: Total Hours: <br />Driving Time: <br />Start: Finish: <br />Total Hours: <br />Mileage Approved By <br />