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Ir•••-- GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: ( ) <br /> Client: m c o CHAIN OF CUSTODY Fax: ( ) <br /> Address: 1 Z 1 1 A i-\ S+rr z e-4- To: <br /> City MoriQsA-r, CA Zip 9.5-3,5- <br /> Project <br /> 53:5Project ID roN Est_ STA'rco 13(00d Lab Use Only <br /> (Print Name) ~ °' <br /> IC 4 2 2 e y� <br /> Sampled By <br /> (Signature Container <br /> Sample typeLab ID# <br /> Grab Comp Matrix Type Size z <br /> Date Time Sample ID <br /> C, 2-X ! Remarks t)1 Z <br /> 1 :30 L' 34.1- 1 yCv O l5— <br /> i1:35 5 I <br /> L50 341 G2t011 <br /> 06 -�- 54F r t <br /> i c,-V Lu <br /> Remarks <br /> Relinquished by(Signature) Date Time Receiv d by ignat re) Date Time <br /> I lot:so 3 r2 f 1 (Z'S <br /> Relinquished by(Signature) Date Time R ceive by( -ignature) Date Time <br /> Preservative: 1Q-4°C Q-HCI Q-NaOH ®-Na2S203 Q-HNO3 @-H 2S Oa ©-Other ®-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Std' Site Arrival: x2= <br /> 1�Iileage: �� �5 JF1 '�ti-� Approved By: &MdZeL�_ <br />