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Lab Report # I" 07- <br /> _ GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> � <br /> Client: Lope- o' CHAIN OF CUSTODY Fax: <br /> To: <br /> Address: <br /> Zip <br /> t <br /> Project ID � 00 � �ti� <br /> (Print Name) pr (-In a r n N r { <br /> Sampled By (Signature) �� Container �� V Lab ID# <br /> o (4 <br /> Sample type Sample ID <br /> 0 <br /> Date Time P Type Size z <br /> Grab Comp Molnx <br /> 7-A-11 10.'0f 5P ( s•q x x a <br /> r0.'0-7 5Pa Ja-t0`15 <br /> Tic&1 00 5P3t <br /> Ja tc qi <br /> 0 i K 15 *-)LN <br /> b o: �a�OStJ <br /> 7-/(1-lff io:r r K S a t OS t <br /> 0 'S a1v <br /> 7-/ 6 ( :'7 1 <br /> `7- o-9K I(.a Y �a Q1� t(✓�rrZ.JQ-R� <br /> Remarks Q <br /> Date Time <br /> Relinquished by (Signature) Date Time Received b ( i ture) ,L <br /> �r -7- /d-9c /,2'� rte_ '1 ar <br /> �� Date 'Time <br /> Relinquished by (Signature) Date Time Received by ( ignalur ) <br /> Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) <br /> Total Hours <br /> Sit :e Time: Dtra ng Time: <br /> Start <br /> Finish: Total Hours: Site Arrival: x2= <br /> Mileage Approved By <br />