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CD <br /> GeoAnalytical Laboratories, Inc. bReport#—USC050 <br /> Regulator"y Dyes &Ro CC! Mes 0 No <br /> w <br /> 1405 Kansas Avenue Phone- (209)572-0900 <br /> Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 Phone: (2,o IF) 8'5 2- f a <br /> Client: oe' , '4CHAIN OF CUSTODY Fax: (fW) <br /> � <br /> Address: j4epl <br /> dd Joe 44,_ E3EDF E3 EDT Original To: <br /> City Zit) 5 O 13 FIELD LOGS C.0 Th: <br /> Project IDLab Use Only <br /> Ell <br /> (Print Name) <br /> ca <br /> Sampled By X. <br /> cd <br /> (Signature) Container f <br /> qj <br /> Sample type 1R.i, <br /> Sample ID <br /> me =Gc <br /> Date Ti Type Size Remark- <br /> ornpi Matzi), <br /> r.- .31 K <br /> 0 >< <br /> e,- <br /> Lill,, <br /> to <br /> cn <br /> CN <br /> Remarks <br /> tc Time Rece-ed by(Signature) Time <br /> Relinquished h2j(Siw is - <br /> M Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> (S) <br /> a) - <br /> N Vative: matrix <br /> 11 -)V e ar <br /> Iq 4° MCL I Na,.SO,O-HN ift Drinking Water Hazardous Waste(Water) <br /> a0p'd 0, 0-H 0,O-Othe, r Waste Water *Sofl/Solid <br /> Pump Track Mileage <br /> Sailers 55 Callon Drums 3 I.Time <br /> Approved By: <br />