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•�/ GeoAnalytical Laboratories, Inc. Lab Report # J DJO ' 07 <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: 973 —075' <br /> Client: LA )f(_&qr rg'NujgDAjn4 fz'Ajt-[,4 L CIIAIN OF CUSTODY Fax: Z — S/S'— <br /> Address: l07 T. /D�`� S7< To: yJaAIl/ oAlSa <br /> A-G Zip rtS37� <br /> Project ID Z <br /> (Print Name) <br /> Sampled By <br /> (Signature) Container B ?'T <br /> Q �`� Lab ID # <br /> Sample type o <br /> Date Time (;,.b c mp Win. Sample ID Type Sire <br /> S .,><< <br /> �1/Z 5-- S -/ /-t`n <br /> l.'2 S -/ wx'S-1` l ) <br /> /.' 70 -Z 9 / � ,;) 60-70 <br /> /: 2, S .Sever ( 0 - / <br /> / .'j6 —/ ' JI D-1� <br /> WADI- . /O. -A'" 3 0 <br /> f Ft f � I 007—S <br /> I <br /> I <br /> Remarks <br /> Rebngmsh gnature) Dale Tune ived by (Signatur Dae Tune <br /> —'Z')-28- ),W ',"' & k /30 <br /> Relinquished byignature) Date Time ReOeived by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date0 15-2 'I ime <br /> Site Time: ` O 1 Driving Timv: �g "Total Hours <br /> Start: � , Finish: Total Itours: I'L Start: Q(� Site Arrival:f pt x2= <br /> Mileage Z Approved By _- — oau <br />