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101 R71 <br /> . ' <br /> RAI <br /> Lab Report# <br /> GeoArlalytical Laboratories, Inc. Regulatory ❑Yes ❑No CC: ❑Yes ❑No <br /> { <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> 1' Fax: (249) 572-091 <br /> Modesto, CA 95351 <br /> Phone: ( ) <br /> Client. Ca Win-} ��� rJ�tmtn+� qe_i+ CHAIN OF CUSTODY Fax: <br /> Address: ®Q a Low. ❑EDF ❑EDT Original To: <br /> Cyt zip g �ZE>� ❑ FIELD LOGS C.0 To: <br /> Lab Use Only <br /> roject ID "11 r <br /> (Print Name) ,1 <br /> Sampled By a <br /> v <br /> (Signature) Container <br /> Sample type Z <br /> J Lab ID# <br /> Sample ID Type size Remar <br /> Date Time Grab Comp Matri <br /> q/b 9 '3EA, <br /> Remarks <br /> Relinquished by(Signature} <br /> Date Time Received by(signature} Date Time <br /> Relinquished by(Signature) 'Date Time Received by(Signature) Date Time <br /> Preservative: Matrix <br /> 4°COHCLO-NaOHO Na�Sz03 -HNO3 O-H SO4 ()-OtherDrinkingWater 0 Waste Water Hazardous Waste {Water) �So!llSolid <br /> - Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums 13 <br /> Approved By: <br />