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\�F` y Lab Report # + � t 1 <br /> GeoAnal tical Laboratories, Inc. <br /> v 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572.0916 <br /> 1 Phone: <br /> n Client; � �L?J CHAIN OF CUSTODY Fax: S�z — 050 <br /> Address: <br /> a zip R5'3I <br /> Froloct ID Af9W 'HA• F^J 5cd6Bd L �ld+f*/'�?' <br /> (Print Name) Ano �h <br /> Sampled By (Signature) Container <br /> 11 Lab ID# <br /> OP U <br /> Sample type k� <br /> Date Time I Sample ID 71 a Siwe z <br /> Grab CU+nD Mama P <br /> f�4 Z' z 1' <br /> Z:3 k- N6 <br /> z; <br /> E <br /> L <br /> n <br /> Y <br /> R ks <br /> A 4116V <br /> ate Time ReceiVCL b• tg to } <br /> a ime� <br /> }�� 3 <br /> we Time <br /> Relinquishe d y ta <br /> H <br /> Date Time RVE <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date 111* <br /> DrivingTime: /may Total Hours <br /> Stare : me; ��,•.7Q+d Finish: // -�- Total Hours: Start: 100 1 <br /> Art]Yal: '� x2= y/L <br />