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OW <br /> GeoAnalytical Laboratories, Inc. Lab Report#_ Y11108t�� <br /> Regulatory ❑Yes (❑l No CC: O( Yes ❑No p <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 Regulator: 1ttmC coin `y �E{117✓I <br /> Modesto,CA 95351 Fax: (209)572-0916 b(�S <br /> Phone: ( ) <br /> Client: T/lAr/oe D.'� CHAIN OF CUSTODY Fax: ( ) <br /> Address: 3 1 0Rd Original To: <br /> city LOA' C14 zip 95'Ayo <br /> Project ID O lick 1t.6LS-t— c.�r fL.}�>\ ra Lab Use Only <br /> (Print Name) d� <br /> Sampled By <br /> (Signature) Container <br /> Sample type a / Lab ID <br /> Date Time Sample ID z <br /> Grab Comp Matrix Type Size J <br /> xxu Remarks aUl�l <br /> a: r 8 / x <br /> 4 ' B x / 1< Xx y <br /> ao � , <br /> X X 01 LI <br /> i <br /> t <br /> Remarks <br /> Relinquished by(Si nature) Date Tim R b (Signature) Date Time <br /> ^O �.� l WC�CXx-� • I l ,O <br /> Relinquished by(Signature) Date Thnef Received by(Signature) Date Time <br /> Preservative Matrix <br /> 0-40C ®-HCL @-NaOH 0-Na2S203 9-HNO3 @-Hz S 0, ®-Other Drinking Water ®Waste Water®Hazardou Wast ater) @Soil/Solid <br /> Site Time: Driving Time: Ti 3 /2/r Mileage <br /> Starts Finish: Total Hours: Start: Site Arrival: x2=Total: <br /> mr <br /> Turnaround rime OStandard OSilver Rush OGold Rush OPlatinum Rush OOther: Approved By: <br />