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.a <br />GeoAnalytical ®rat®ries, Inc. <br />1031 Kansas Ave. <br />Modesto, California 95351 <br />CHAIN OF CUSTODY r-5 <br />Client FC'z`a-tla-i?-pAddress RQ, R Q • 3 Y- 6-336 <br />SIGL'�-lo�l , GOc Zip <br />Phone <br />CC to: <br />M <br />Phone (209) 572-0900 a <br />Fax #(209) 572-0916 <br />357 1 <br />(om) � A66 _ Lt 425 z. <br />i <br />kk� <br />PROJECT ID <br />P <br />No <br />of <br />ANALYSIS <br />(� f �� / <br />REMARKS <br />SAMPLED BY: (si��nat <br />con - <br />tarn- <br />ers <br />sample <br />Date Time <br />type Sample IDCL <br />Relinquished by (signature): <br />Date <br />Time <br />1Z' <br />Received by (si ): <br />at <br />3 <br />Time <br />PC <br />Relinquished by (signature): <br />Date <br />Time <br />Received by,( Ignature): <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: Total Hours: <br />Mileage <br />Garoli Graphics (209) 527.3667 <br />Approved By <br />