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GeoAnaly tical Laboratories , Inc . Lab Report # <br /> Regulatory*�*Xes ❑ No � <br /> 1405 Kansas Avenue PI)one: (209) 572-0900 / <br /> Modesto, CA 95351 Fax: (209) 572-0916 Regulator: YN /r teal <br /> Phone: (ZDt ) � t�2s 7� <br /> Client: 7000C <br /> r 9! t CHAIN <br /> CHAIN OF CUSTODY Fax: (Zp� ) vSr <br /> Address F, T/ / y - &,KAAAIJ kk To: _ <br /> City x Zip C <br /> Project ID — Cl CA , � Lab Use Only <br /> (Print Name) <br /> Sampled By (Signature) foil Container <br /> Sample type Lab ID it v <br /> Date Time Sample ID p <br /> Grab Comp Matrix Tya Sixe r <br /> //1L7 tZ �j Remarks a1 J 745) <br /> Z J 57 3 1 <br /> l 2 5D TX l S� 57 q <br /> / C / I t jA1575 r <br /> r <br /> S Z 15 7 <br /> .� I ✓ 7 <br /> c ,�- f ✓ 79 ! <br /> Remarks <br /> Relinquished by (Signature) Da Timed gccejWd by (Signature) Date I Time <br /> Relinquished by (Signature) Date Time Received by (Signature) Date Time <br /> Preservative : 1Q -4°C 02 -HCI &NaCH @-Na2S203 Q5 -HNO3 © -HZS 04 7Q-Other ®-Other <br /> Site Tune: 3 Driving Time: Total Hours <br /> Stan: Finish: Total Hours: I Sty: ' Site Arrival: x2= <br /> Mileage : Approved By: <br />