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$,•,� h Lab Report# <br /> GeoAnalytical Laboratories, <br /> Inc.IIlC. <br /> Regulatory ❑Yes ❑ Na <br /> 1405 Kansas Avenue Phone: {209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: • (209) 572-0916 � q g r <br /> Phone:. 0) <br /> Client: REM] <br /> LL I C--, CHAIN OF CUSTODY Fax: PC) j) 34 - �- - <br /> Address: I Z-7!a P --� {�(/1 C. t V 1 To: <br /> City L t7 C_A' Zip <br /> Project ID 91Z.. Lab Use Only <br /> (Print <br /> P y <br /> Sampled B (Sign Container U <br /> o <br /> Sample type / Q 0 Lab ID# <br /> Date Time arab comp Sample XD Type size <br /> WL- LeT 1 3 Remarks <br /> �jea- 3b <br /> (\- 12, l <br /> .7� i 1e— VL t V <br /> Remarks <br /> Rclinqui ed (Sign^ ure) D to Time Received by(Sign Dale Time <br /> nquishe'by(Sin e) Ddie Time Receive by -nature) WDat/ Time <br /> Preservative: 0-4 Q- I Q-Na0H ®-Na2S203 (D-HN 03 ©-H2S 04 (D-Other ®-Other ' 13 <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: A roved By: low <br />