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GeoAnalytical Laboratories, Inc. Lab Report# VgE0Hi(D <br /> —Now Regulatory f7 Yes I]No CC: OYes 0 N <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: ( ) <br /> Client: Ile )A , 44r CHAIN OF CUSTODY Fax: ( ) <br /> Address:_ U441 <,. A on } yl ; OEDF 13EDT Original To: <br /> City G+n[ k 1 n C lb Zip 13 FIELD LOGS C.0 To: <br /> Project ID <br /> (Print Name) Lab Use Only <br /> Sampled By <br /> (Signature — e <br /> �1 Container c O rD <br /> t <br /> Sam le <br /> Date Time p y� Sample ID z N tr•I r— y Lab ID# <br /> Grab I Cormil Marcid Type Stu — l f y <br /> s14 ire Su `� ,1To ✓ ✓ ✓ <br /> ZEE <br /> Relinquished by(Signume) Date Tina ReclikAd by(Signature) Daze Time <br /> S_ 1 IX�lsvmIj <br /> Relinquished by lSignslum) Dare Time Received by lSignazurcl a Time <br /> Preservative: Ma Mx <br /> 0 4006 HCL&4aOHO Na,S2O.O-HNO, 0-HPO,8-0Ther .Drinking Water®Waste Water ® Hazardous Waste(Water)©SoilfSoRd <br /> Bailee 55 Gatoo Drums Pump'rtuck Timi ileage <br /> /-574"T <br /> cm tn.a.u.,Ru o Approved By: <br />