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-.;Mw GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory ❑Yes ❑�No /j'_ <br /> iftrels 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: t�w �1 � <br /> Modesto, CA 95351 Fax: (209) 572-0916 <br /> Phone: (Zcay) �3-0758 <br /> Client: rVX14- EEa se, / CHAIN OF CUSTODY Fax: (z,^, ) 83Z- 515—' <br /> Address: r.7 /Grh Sf To: <br /> City T Zip 9 iG <br /> � Lab Use Only <br /> Project ID5} (Y14r S nI. c/ ora d 5 k o <br /> (Pt <br /> (PName) <br /> Sampled By R1,ti xo 0HfIk r V <br /> (Signature) , Container <br /> `o Q � G� �v O Q U v <br /> Sample type o /�" /� Lab ID# u <br /> z �� �� a <br /> Date Time Grab Comp Matrix <br /> ID x Type Size <br /> / V l E1 ay.6 I I Y_ Remarks <br /> Remarks <br /> Relinquished by(Sgnawre) Date Time ec v d by(Signature) Date. Time <br /> i//z 9a .3 ;.Sc? Lc fc 2`9� <br /> Relinquished by(Signature) Date Time Rece ed by(Signature)AO <br /> Date Time <br /> Preservative: D-4°C 02 -HCI 3Q-NaOH @)-Na 2S203 Q5 -HNO3 ©-H2S 04 7Q-Other ®-Other <br /> Driving Time: Total Hours <br /> Site Time: <br /> Start: Finish: Total Hours: Std' Site Arrival: x2= <br /> Mileage: ( q Approved By: r +—� <br />