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Lab Report# <br /> GeoAnalytical Laboratories, Inc. <br /> Regulatory �KYcs ❑nnN��o � <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: J/st.fLL//U (.e� <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (Zry) '2­3 <br /> Client: aFP &V A1211-icelts CHAIN OF CUSTODY Fax: ( zoo) 2-3`s — 70 S-6 <br /> Address: S/ S( F , 1441Y'fa uepe Pj gc)oQ 04 To: <br /> City 4447VMM Ctf . CA Zip 6 <br /> Project ID �f n//C� �'fenl0�fl�1 6� ��10/L c9i L �� ,�Ii Lab Use Only <br /> (Print Name) <br /> / Sampled By = v .� <br /> (Signature) Container uu <br /> o d <br /> Sample type � � k Lab ID# <br /> Date Time Grab I Comp Matrix Sample ID Type Size / F <br /> ;tLJ S S /.Z X5 OZb l Remarks tC f <br /> •Y it <br /> Remarks <br /> Relinquished by(Signature) U;Ve Tina Received h (Sign n tre) - Dale Time <br /> 12 <br /> Relinquished by(Signature) Date 'time Keoeive ,b tSignamrc) Date Time <br /> Preservative: 1Q-41C 02 -HCI (@-NaOH &Na2S203 Q5 -HNO3 ©-H2SO4 07 -Other ®-Other <br /> Site Time: I Q n, <'b i IAa Driving Time;�q7 /B /Z" Total Hours <br /> Stan: 1 Finish: (� Total Hours: O`/t 1-'bK/� Stan: I 7 Site Artivah 1 x2= N/L <br /> Mileage: Z '7- Y nM l Approved By: <br />