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hnc. Lala Report It K-0- �0 <br /> 1�---- � GeoAnalytical Laboratories, <br /> Regulatory d- <br /> Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 J ) r <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: h oa c� <br /> Phone: (Z09) 36"B - 617 5- <br /> Client: <br /> Client: 711ORPE Oje- CHAIN OF CUSTODY rax: (zoq ) 3io 8- 125 1 <br /> Address: 3'5/ A) 13BG/c. zn Cd To: <br /> City or'; r n A zip 95Z Z/D C' <br /> Project ID e r0 keevQ s Lab Use Only <br /> (Print Name) <br /> ampled By /C/14AD CM,e 4) <br /> (Signatur Container o �Q' �v w c. <br /> P <br /> Sample type o d k Lab ID# a) <br /> Date Time Sample ID Z �� �0 L.Grab Comp Malrix Type Size <br /> IZz,L99 2;00 ✓ 15PA 5 2 X ca X x Remarks <br /> L:oZ SP-•Z ' S l x <br /> A ` <br /> h 0,v 4* x <br /> l K Z ac.o•i !- Or t X <br /> 2: -26 T K Z Q or G.P t' ► X X <br /> Remarks <br /> Relinquished by(Signature) Dale Tillie c •ived by(. ' r'tire) Da'c Time <br /> l 3 vo 2?LA12 6 3;txJ <br /> Relinquished by(Signawre) Dae Tiva: ` teccived by(S nature) Date time <br /> Preservative: 1Q-4°C 20-HCI Q-NaOH ®-Na2S203 Q-HNO3 ©-H,S Oa 7Q-Other &Other <br /> Sile Time: Driving Tiu,e: Tula[Hours <br /> Sian: Finish: Total Hours: Sart: Arrival: x2= <br /> Mileage: 54 ,,,les Approved 13y: V& <br />