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�-- - GeoAnalytical Laboratories, Inc. Lab Report# A 0 �Y-i-6 <br /> Regulatoryes No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: ( ) <br /> Client: S C c o CHAIN OF CUSTODY Fax: ( ) <br /> Address: /o1 1 7 4-h S4- To: <br /> City r1lcd e 5 o Ca Zip 9 S-3s <br /> Lab Use Only <br /> Project ID S M t>,L S-t�a t-t a„� 13 G U E� c�/o (�,, Fsc�/o rt, � � Lk � � a� <br /> (Print Name) �'�`► , �c,� /� O <br /> Sampled B l�r�MprZ� e v <br /> p y (Signaturev Q Y ti <br /> Container o v <br /> Sample typeo �! Lab'ID# a <br /> Date Time Sample ID Z a+ <br /> Grab Comp Matrix T'Pa Size <br /> Remarks KZO <br /> 5:a /C 3 4 4-- <br /> Remarks <br /> Relinquished by(Signature) at Time Re ce a nature) D a Time <br /> Relinquished by(Signature) Date Time Received by i ature) 6ate Time <br /> Preservative: 1Q-4°C ©-HCI Q-NaOH ®-Na2S203 0-HNO3 ©-H2S 04 Q-Other ®-Other <br /> Site Time: Driving Tirne: Total Hours <br /> Start: ?7 "15 Finish: 5'. 15 Total Hours: 21 Std' Site Arrival: x2= 31�trs <br /> �4 <br /> N4;JaORO• 9Z/.. lv- Annrnved Rv: - --._--- <br />