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Lab Report# '04�a� <br /> ._ GeoAnalytical Laboratories, Inc. <br /> Regulatory OYes ONo CC: Yes [3 No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209)572-0916 <br /> Phone: ( ) <br /> Client: T�� P� 01 L CHAIN OF CUSTODY Fax: ( ) <br /> Address: E3 EDF E3 EDT Original To: <br /> City Zip E3 FIELD LOGS C.0 To: <br /> Project ID 83 S N- CPh 4f q I Lab Use Only <br /> (Print Name) <br /> Sampled Byas <br /> y .as <br /> (Signature) Container <br /> Q hLab lot <br /> Sample type <br /> Date Time Sample ID z' Q 4 <br /> ° a <br /> y 7ry lu <br /> Grab Comp Matri type T- <br /> i— Remar <br /> S ''1� • .� - 1Cw I <br /> : I S c P -GZ <br /> I I L ..Q <br /> Remarks <br /> Relinquished by(Signature) Date Time I Received by(Signature) Date Time <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative: Matrix <br /> O4008HCLaNaOHO Na2Sz03©-HNO° O-H S OQ 0-Other Drinking Water®Waste Water ® Hazardous Waste(Water) ©SoiUSolid <br /> Pump Truck Time /� Mileage SO <br /> Bailers 55 Gallon Drums O Jtv <br /> Approved By: <br /> Turnamuntl Tina ❑tiInnJartl ❑lilvar RusM1 nGoldRush %c1inum Rush Qotw <br />