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Lab Report# S <br /> GeoAnalytical Laboratories, Inc. <br /> Regulatory ❑ Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: • (209) 572-0916 Regulator: <br /> Phone: ( } <br /> Client: L 14)�t l CHAIN OF CUSTODY Fax: ( ) <br /> Address: 7 77 a b L To.- <br /> City <br /> o:City Zip �7 <br /> }} <br /> Project ID ,�y Lab Use Only <br /> � L� � � Z� � � � <br /> (PA"Sul'rm <br /> N ) <br /> Sampled By1 �go� � o y <br /> ( e) Container U �"T ;r <br /> Sample type V / Lab ID# 4 <br /> Date Time Sample ID �., <br /> Grab Comp Matrix Type Size <br /> LJ /* <br /> Remarks a <br /> t Z 3 <br /> `i AA <br /> r <br /> i <br /> i <br /> Remarks <br /> Relinquished b gaature ate Time Received by(signature) Date Time <br /> �� .'P to-L2- -'vv �-►-. <br /> Relinquished by(Si ate Time Receive y(Signature) Date Time <br /> Z <br /> Pres rvative: Q-4°�((2))-H ((03)-NaOH ®-Na2SZ03 ®-HNO3 ®-H2S 04 (D-Other ®-Other <br /> Site Time: Driving Time: rota!flours <br /> Start: Finish: Total Hours: Std' Site Arrival: x2= <br /> l4iileaue: Aooroved By: <br />