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GeoAnalytical Laboratories, Inc. Lab Report# 12Z41 - <br /> Regulatory Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 �y/�,t,g f;i�G <br /> (209) 572-0916 Regulator: 5h� �iA i i, i (240 . <br /> Modesto, CA 95351 Fax: <br /> Phone: q7vF) 3163-- 6175— <br /> Client: r/eKPE 0 <br /> /6- /J CHAIN CUSTODY Fax: ) bS- <br /> [611fS� <br /> Adress: 3S/ /� ircex f1./ 12� /� k r lw <br /> City Zip 11)nj <br /> Project ID S'uf00(- Lab Use Only <br /> (Print Name) / �~ u <br /> Sampled By 1- Zzcvr' <br /> (Signature) F PA Container u �Q ✓ (4 > <br /> L <br /> Sample typeSam le ID Lab ID# <br /> Sample 4 <br /> Date Time Gab Comp Matrix Type Size h 2 <br /> Remarks 'A J <br /> Y ` i J 3S5 <br /> 411V J—A� Z LOt i <br /> 1113 '7- <br /> K- _ L J_ZA1*;;Cq9:1� <br /> �. <br /> 2, s e' 21 $5 <br /> Remarks CyNFYr S.kt��i <br /> N0 6 f1w 5e,tc 0"4 <br /> S11V e xf4-.J e'.4-. <br /> Relinquished by(S' ) �p ate Time 'v,d Si re Da Tine <br /> 6-- % � /Z: cid 1 <br /> 4fzZ <br /> Relinquished by(Signal ) Date Time eiv by(Signature) Date Time <br /> Preservative: 1Q-4°C ©-HCI (3-NaOH ®-Na2S203 Q-HN03 ©-HZS 04 7 -Others ®-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: S' rrival: x2= <br /> Mileage: Approved Bya _ J r <br />