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GeoAnalytical Laboratories, Inc. Lab Report# RIO I %, 19- <br /> Regulatory EMS ONo CC: EMS dNo <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> IILP -'C- Modesto, CA 95351 Fax: (209)572-0916 <br /> Phone: ( ) <br /> Client: _16yl?e pi � CHAIN OF CUSTODY Fax: ( ) <br /> Address: las lN- iFremov, 1 13 EDF 17 EDT Original To: <br /> City S�pc kn C}l Zip g53g 3 2�23 13 FIELD LOGS C.0 To: <br /> Project ID J 2S W . Fr-ev,vy-� Lab Use Only <br /> (Print Name) tiki <br /> Sampled By USeAr <br /> (Signature) Ck Container c <br /> Q <br /> Sample type Sam le ID z �� ,,�� r �� Lab ID <br /> p <br /> Date Time Grab Camp Malri Type Size Remark! <br /> 2O )• t) S 5}oc rt RRUt70 <br /> Remarks <br /> Relinquished by(Signatu ^^/ , Dag FT',Mle <br /> Rec ved by(Signature) Dat Time <br /> 1Re inguished by(Sigmiire) Dale eceiv iy(Signature) Date Time <br /> Preservative: Matrix <br /> 0 4n001-1CLOc NaOHO Na2SZOa 0-1-11\103 0-HP040-01her 40DrinkingWater®Waste Water ® Hazardous Waste(Water) Soli/Solid <br /> Pump TOruck Time nti,--5 Mileage�� I^ <br /> Bailers_ 55 Gallon Drums_ <br /> Approved By: <br /> Turnunnmd Time ❑Seendard ❑Sllaer Rmh Goltl Rush Plnlinum Rnsh Other <br />