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fir/ �G �l�` l�ccS o� <br /> Lab Report#��?�2 — <br /> GeoAnalytical Laboratories, Inc. - <br /> Regulatory�Yes ❑ No —rec;j 4ews <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: 5An/ ,�6.4*�Lterc/ �d • � Ki�� <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (01t) <br /> Client: TY9,��� t 9iC CHAIN CUSTODY Fax: (?-D 3 (O�r - 1957 <br /> Adress: 3s/ A) To: h.,9oe4)l- <br /> city 1,6t�c` , zip <br /> Project ID L/NC 6Lj✓ /� tdl At 5�c odL - 5APc4e-�,i�/✓ Lab Use Only <br /> Sampled By (Print Name) �� J eh'-, <br /> (Signature) Container u �Q �V <br /> Sample type )( <br /> Lab ID# u <br /> Date TSample ID <br /> pime Gab Comp Matrix Type Size O Pr <br /> /•�S� �� �� U Remarks <br /> tC� Z c'� 21311 <br /> z 1 1 SPA ^/ 2 <br /> YL z Covet <br /> 3 y I IC-! -1 <br /> Z- le 60mg. J21 <br /> ,6 1 S -r 1 to <br /> 41. ywl C07K21 / <br /> 3 _ i <br /> Remarks <br /> Relinquished by(Sign Da Time ecei by S gn lu ) Dat Tina <br /> Relinquished by(Signature) 6 Date Tim r)' <br /> ceiv by(SignalureT Date Time <br /> Preservative: iQ-4°C 02 -HCI (3 -Na0H ®-Na2Sz0, Q-HNO, ©-H,S O4 7 -Others ®-Others <br /> Site Timer 0 / (/ ,C Driving Time: �^ J Tot at/Hyurs <br /> Stan: r3 Finish: /( �/ Total Hours: �,:., t—t�vJ Stan: v ite Arrival:/ / z2= <br /> Mileage: 37 � Z 7 T I�tl�s Approved By <br />