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-� GeoAnalytical Laboratories, Inc. Lab ReRegulatoryport aart# <br /> ❑ Yes ❑ No <br /> 1405 Kansas Avenue Phone (209) 572-0900 Regulator <br /> Modesto, CA 95351 Fax (209) 572-0916 <br /> Phone ( ) <br /> Client SemCo CHAIN OF CUSTODY Fax ( ) <br /> To <br /> Address <br /> CityZip C <br /> n Lab Use Only <br /> Project ID (Rip tm C, <br /> (Print Name) Y <br /> ✓ _ ,y <br /> Sampled By (Signature) Container o <br /> V Q' <br /> ID4ZA — 0 <br /> w <br /> Sample typ o Sample ID c tit Lab ID# 0 <br /> '� <br /> Date Time Grab Comp Matrix fype SUL 1( p" <br /> G-Zr-97 IC) A—,+ (7' S� �rzK b �C Remarks <br /> k <br /> rn k.11 <br /> -3b X <br /> Z 0 <br /> k 1 <br /> Z 'p5 SP – G <br /> S0 X 1 <br /> 2 <br /> to <br /> Remarks Li x� .� G�►'" k (0 2� S �'`'� �� <br /> ZfJ <br /> Relinquished b (Signature) Date Timt- R t. Si-nat( Date Time <br /> Relinquished gnature) Date Time c�LIYLd by(Signa[ te) Date Time <br /> Preservative 1Q-4°C 02 -HCI3Q-NaOH@-Na2S203 &HNO3 ®-H2S 04 (O-Other ®-Other <br /> Driving Tune Total Hour, <br /> Site Time <br /> Start Finish Total Hours Start Sitl Arrival x2= <br />