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GeoAnalytical Laboratories Inc. Lab Report# <br /> Regulatory C1 Yes ❑No CC: ❑Yes 0 N <br /> k 1.405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209) 572-091.6 <br /> Phone: ( } <br /> Client: 4 ,i+,CHAIN OF CUSTODY Fax: { ) <br /> Address: (POO 13 EDF ®EDT Original To: <br /> City Zip at S--0 Z— 0 FIELD LOGS C.0 To: <br /> Project ID ��, Lab Use Only <br /> (Print Name) v <br /> Sampled By t v <br /> (Signature) <br /> o � <br /> Container u <br /> Date Sample type Sample ID © q+�•! J' ,� Lab ID# p}a9) <br /> D e Tune Grab Comp Matrr Type Size Remar <br /> 9 16 9 3-sA 1 4- <br /> C_ <br /> - a x x x <br /> V-1 + <br /> Remarks <br /> Relinquished by(Signature) Date Time Deceived by(Signature) Date Time <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative: Ma Prix <br /> 4) 4°C8HCL c0Na0H 'I Na SZO,8-HNO3 10-H504 ©-Other Drinking Water 0 Waste Water cD Hazardous Waste (Water) ®Soil/Solid <br /> Pump Truck Time [Mileage <br /> Bailers 55 Gallon Drums 0 <br /> r, r, Approved By: 94 - <br />