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Lab Report# P <br /> GeoAnalytical Laboratories, Inc. <br /> ' --►+ Regulatory [3Yes E3No CC: 13Yes [3 No <br /> 2300 Maryann Dr Phone: (209) 669 0100 <br /> Turlock, CA 95380 Fax: (209) 593 2212 Regulator: <br /> Phone: ( ) <br /> Client: _T*'m Th n f 'I�� CHAIN OF CUSTODY Fax: ( ) <br /> Address:Tt, U; 7ac)c- 13 EDF 13EDT Original To: <br /> City L _ d.t A Zip _gSZq ( 13 FIELD LOGS C.0 To: <br /> Project ID (833 W , Ke�k�e �_o Lab Use Only <br /> (Print Name) <br /> Sampled By jr <br /> J <br /> (Signatur o w <br /> Container <br /> Sample type Ji �) <br /> Sample ID z Lab ID# <br /> Date Time Grab Comp Matrix 'Type Size <br /> I . - <br /> ! X x X _ Z <br /> X K x x <br /> Tc z i Y x X X - <br /> fi� <br /> Relinquished by(Signature) Date Time Re the (Si at re Date Time <br /> -�- ,� a:14 - y,i . ( .1 <br /> Relinquished by(Signature) Date Time Received by(Signatu Date rime <br /> Pre rvative: Matrix <br /> 0 4-(*HCL�la0 I NazS203©-HNO3 O-H S 04 �ther Q Drinking Water®Waste Water ® Hazardous Waste(Water)©Soil/Solid <br /> Bailers 55 Gallon Drums , 5 Pump Truck Timet Mileage <br /> ❑Su.d-d [ISM—Rush GrRdRush P1.U—R-h 000., Approved By: lL <br />