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GeoAnalytical Laboratories, Inc. <br />1405 Kansas Avenue <br />Modesto, CA 95351 <br />Client: < L . 9,CQt,,��hv�"' <br />Address: <br />City G Zip <br />Phone: (209) 572-0900 <br />Fax: (209) 572-0916 <br />CHAIN OF CUSTODY <br />AV NR . )&541 <br />Lab Report # V 0(� <br />Regulatory es Cl No r-6 2e,_,j4� <br />Regulator: U <br />Phone: ( ) <br />Fax: ( ) <br />To: <br />�v <br />Project ID Gte& ' <br />0 — S?Y <br />C7,RA vT 6,1v -'C. Ave — _11_2i�14 <br />Container <br />L <br />o <br />C <br />�� �� <br />r <br />1C Remarks <br />Lab Use Only <br />Lab ID # L <br />F <br />Sampled By <br />(Print Name) <br />Ve4,G <br />> > <br />(Signature) <br />Date TimeSample <br />Sample type <br />Crab Comp Matrix <br />ID <br />LC_" <br />'type Size <br />5 y <br />a <br />Remarks <br />Relinquished by (Signature) <br />A <br />Date _ <br />Timc <br />1' c v S <br />1t re <br />How;/ <br />ate <br />A5 <br />[i me <br />Relinquished by (signature) <br />Date <br />Tim <br />Received by (Signal e) <br />Date <br />Time <br />Preservative: 1Q -4°C <br />02 -HCI3Q-NaOH4Q-Na2S203 <br />5&HNO3 <br />©-H2 /04 (O -Other® <br />-Other <br />Site Time: <br />Start: <br />Finish: <br />Total Flours: <br />Driving Time: <br />Starr <br />Site Art val x2= <br />Total Hours <br />Mileage: Approved By: <br />