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IGeoAnalytical Laboratories, Inc, Lab Report# VgEOHIID <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulatory 13Yes E3No CC: E3yes ONo <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Client: la�p N ¢ ( Phone: ( ) <br /> CHAIN OF CUSTODY Fax: ( ) <br /> Address: U�[y� S_�;_r ._ a t C1 EDF E3 EDT Original To: <br /> City . C PC Zip E3 FIELD LOGS C.0 To: <br /> Project ID <br /> (Print Name) n �t Lab Use Only <br /> Sampled Byv66' <br /> (Signature - e O <br /> Container ro <br /> Sample type `O G <br /> Date Time Sample ID z N N r- to Lab ID# <br /> Grab Comp Matrix Type Size r <br /> y a 4 <br /> in IrG S of `C rl fJ• 7 ✓ ✓ <br /> eY .i <br /> Relinquished by(Signmurcl Date Time <br /> Rec iv dby(Signmurel Dme T,m<• <br /> S-tet <br /> l <br /> Relinquished by lSigwurcl Date Time 5 <br /> Received by(Signmumt D e Tim, <br /> Preservative: <br /> 04°C8HCL0-NaOH0Ny S,0,0-HNO 0-HISO 0-Other • Drinking Water <br /> Matrix <br /> � � ----® 9 ®Waste Water ® Harartloua Waste(Water)©SoiVSolid <br /> 14i1•n 55 GWoo Drums Pump Truck Time Mileage <br /> 173 1 <br /> 1 5 {rt <br /> �^��r•T� OS1udY< SM�nN r RU n,d,,.RW qRy Approved By: <br />