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GeOAnalytical Laboratories, Inca Lab Report# <br /> fp' <br /> Regulatory Yes C3 No CC: Yes El No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 Regulator: /$RJ �✓ <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: {205') - 5- <br /> Client: 2' eot CHAIN OF CUSTODY Fax: (2d <br /> Address: ,7i 5`/ /1�- A ec lem&nf V Original Tarr <br /> City - - 1t, C�4. zip v' 1 <br /> Project.ID AJo,4*k S;1vC /Qu7�t1 .� t!!G _4V (� Lab Use Only <br /> (Print Name) _. <br /> Sampled By > <br /> (Signature) Container V <br /> 4 53 <br /> Sample ty V <br /> le ID z <br /> Date Time Sam Grab Com Matrix p Type Size <br /> y ,K iz 6 X Remarks m't x <br /> §lF. <br /> d. <br /> � t <br /> ,sa«_ <br /> § j <br /> Remarks /))Ft f/4 LS CA x}11�t INS C M 1 a�t GIE ' 'Z �e e��G t c' tr 1 <br /> Relinquished by.(Signature) Date T Received by(Signature) Date Time <br /> s 7- d �`Zs 5•L6-60 <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative Matrix <br /> 0-4°C ©-HCL Q-NaOH Q-I�azS20, Q-HNO3 Q-Hz SO4 0-01h& t9Drirlking Water l jWaste Water Hazardous Waste(Water) QSo0olid <br /> Site Time: ��'�� 1 Driving Time: ! Time Mileage <br /> Start: Finish: Total[lours: 1 start.- <br /> ite Arrival: x2=Total: ,V$ <br /> Turnaround Time tandard -QSilver Rush ❑Gold Rush UPlatinum Rush []other: lApprovedl3y: <br />