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., Lab Report# <br /> -- -- GeoAnalytical Laboratories, Inc. <br /> Regulatory YesNo <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto, CA 95351 Fax: (209) 572-0916 Regulator: t aJ C'6S- <br /> Ilonc: (Zl>F) <br /> Client: �'�1c912rf11�,� CHAIN OF CUSTODY Fax: <br /> Address: � � %,/• F1z-7,ct2,4 � <br /> t // AX To: <br /> _ City <br /> G� C ��a zip <br /> Project ID ClPteQ 1�9elcl__ "S k Lab Use Only <br /> (Print Name) 5 Gj v <br /> Sampled By LWJ y <br /> (Signature) Container ° y w <br /> {�' l" cl <br /> cu <br /> Sample type o s(� �14 Lab Ill # v <br /> Date Time <br /> Sample ID I�pc Size <br /> G s~ <br /> Grab Comp Karix p t <br /> •t(7 /41'f" r" Remarks <br /> Y 7 �t c <br /> �t S " <br /> Remarks <br /> Relinquished by(Signature) Date Time Iec c i'11; Dale fin c <br /> z-eyly �fov <br /> Relinquished by(Signature) Date Time Aecervcd by(Sig tr ere) Date Time <br /> Preservative: 1Q-4°C 0-HCI @-NaOH4Q-Na2S,O, Q5 -HNO3 ©-H2S 61 7Q-Other ®-Other <br /> Sitc Time: Driving Time: -local I lutes <br /> Start: Finish: Total Ilours: Start: Sitc Arrival: x2= <br /> Mileage: Approved By: _ �%A^— )''� <br />