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Lab Re ort# No3 s( D <br /> Ids•` - GeoAnalytical Laboratories, Inc. p <br /> Regulatory C3 Yes ❑No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 - 9-Ec"2 Regulator: sa Id6— <br /> Modesto,CA 95351 Fax: (209) 572-0916 -5-3-� .��b0 ���"�O(3-7 4/3 <br /> Phone: ( ) <br /> Client: G'• L A01-ti ZJ,nf 1,0176 CHAIN OF CUSTODY rax: ( ) <br /> Address: 0'137 /^r'_ To: <br /> City /��n�C�fo �� Zip g5733-Z/ <br /> Project ID C,0 r L y- / C1fl-t_" - re Ivy • 4 Lab Use Only <br /> (PriM Name) <br /> Sampled By X/6-1'1i9/,o <br /> (Signatu Container > <br /> ,/. <br /> Sample type ,� Lab ID# w <br /> Date Time Sample ID .44p„ <br /> Gmb Comp Matrix Type Size <br /> 7"a C) Z � �?� / ) � Remarks O�o_7a7 <br /> i <br /> 33 S 3 ft A-r .34 1 1 x )e <br /> 7'36 s $ -3 gar 3 F+ x <br /> 113 -S e Q <br /> y S z moi-►- i x ,c X a� 73 <br /> -a- <br /> 7,-57 s c „ e Z- 3Y. K 3,;2a73-3 <br /> olo S 1,A`3 ► a 73 <br /> t s DAJ or-4-k A4- �- X735 <br /> /Opt-- w,S 3 x Y <br /> • �J -S w t. / t l^ r S �� i X734, <br /> Remarks <br /> Relinquished by(Signature) Date Time la ece a by(Signature) Date Time <br /> a 4 .30 6 , 1z z1 9= <br /> Relinquished by(Signature) Dae Time Received by(Signature) Date Time <br /> Preservative: 1Q-4°C 2&HCI (@-NaOH @-NaA0, 0-HNO3 ©-HZS 04 7Q-Other &Other <br /> Site Time: Driving Time: Total flours <br /> Start: Finish: ,� Total Hours: Stan: \%7,-0 •'Sile Arrival: 1-00 x2= <br /> Mileage: (] m 1-e.s Approved By: LZI:'i N <br />