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GeoAnalytical Laboratories, Inc. <br />1031 Kansas Ave. <br />Modesto, California 95351 <br />CHAIN OF CUSTODY <br />Client <br />Address t • <br />D <br />a) <br />M <br />Phone (209) 572-0900 0 <br />Fax #(209) 572-0916 ;L <br />r'5467 <br />vy <br />Phone- (z.0k 166-Wu82. <br />CC to: <br />PROJECTID <br />Wl�" U 5Lu <br />FAD <br />ANALYSIS <br />of <br />of <br />co - <br />® p <br />N <br />J <br />REMARKS <br />.SAMPLED BY: (signature) <br />SAMPLED <br />same e <br />type Sample ID <br />Date Time �„p <br />'Z3 a• <br />S AD <br />Relinquished by (signature): <br />.:. <br />Date <br />Time <br />2:21 <br />Received by (signature): <br />�,., K . <br />Date <br />ala3 <br />Time <br />�'' <br />Relinquished by (signature): <br />�•47 <br />Relinquished by (signature): <br />Date <br />Date <br />Time <br />D�" <br />Tim <br />Received by (signature): <br />Received by ignature) <br />Date <br />Date <br />Time <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 <br />Garoli Graphics (2091527-3667 <br />Approved By <br />5 <br />