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GeoAnalytical Laboratories, Inc. Lab Report#. �'`�� _kl <br /> Regulatory %Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Le> <br /> Modesto, CA 95351 Fax: (209) 5`12-0916 Regulator: 6��L1 /� <br /> Client: <br /> u FF QDCHAIN OF CUSTODY rax: {,xo,) — ?D S�6 <br /> Address: To: IW2--1'^J A/4/ZQ1 <br /> City _ 4/f7V�&Cd CA zip 9-5— 6 <br /> Project ID L Lab Use Only <br /> (Print Name) <br /> ' Sampled By e �� d <br /> (Signatur ) Container o �� , > ° <br /> Sample type k Lab I.D# <br /> Date Time Sample ID <br /> Grab Cump Matrix Type Size �7 r!,,,, <br /> lZ r 6 Remarks K W tP r <br /> •Y S40 c1C <br /> Remarks <br /> Rchilquished by(Signature) Date Tirue R"';ived b Date Tin>r <br /> Relinquished by(Signature) Date Tiuus Receive b (Signature) Date Time <br />-_ Preservative: O-4°C (D-HCI Q-NaOH ®-Na2S2O3 &HNO3 ®-H2S 04 Q-Other ®-Other - <br /> ish:Site Timc: �0 #4A Stan: <br /> g Tina: 50 1 77 <br /> x7x Total Flours <br /> Start: FinTotal MUM G2 Stan: �� Site Arrival!: 2= >+!7/�i <br /> �7�i¢C <br /> Mileage: Z= 4 Approved By: — � 111125 <br />