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Lab Report# ` <br /> - GeoAnalytxcal Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> � J - n Phone: <br /> Client: Ill/YA-�� �X-��I"��SI' a% CHAIN OF CUSTODY Fax: <br /> Addre'. To: <br /> Zip °IIU <br /> 1 4 <br /> Project 1D ['` J �A�y <br /> (Print Name) ' w <br /> Sampled By (Signature) O L ` Lab ID# <br /> Coyitainer o <br /> Sar»Plc tyre UJ <br /> Date Time e':11tt1tIC ID Type Sire 711, <br /> Leah Comp Mairin <br /> 5e'-�e z r/z f k k x x X x mi l <br /> yz, ee t X X X x x k r Z S <br /> k X .-K <br /> t• <br /> Remarks <br /> �. - [� ;C <br /> Relinquis ie )y (Ss nature) Date "Time Re ej (Signat it Dalliure <br /> aa-d IMA <br /> Relin uis} y (Signatr ) Da e Time Received by(Signature) , Date Time <br /> Relinquished by (Signature) Uatc 1'imc Received At Laboratory by(Signature) Date "lime <br /> Site Time: Driving Time: Total Hours <br /> Start: 1 : 2 3 Finish: j: 14 � Total Hours: 4W ru(,,t S' Start: Site Arrival: x2= <br /> Approved B <br /> Mileage 1 P Y <br />