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M GeoAnalytical Laborat ries, Inc. Lab Report 2u _0 <br /> Regulatory ❑ Yes ❑ No CC: ❑Yes ,J No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: San Joaquin Co. (Lori Duncan <br /> Phone: ( 209 577-8186 <br /> Client: M.J . Kloberdanz & Assoc. CHAIN OF CUSTODY Fax: ( 209) 577--8158 <br /> Address: P.O. Box 575981 L]-�'6C \ C' Original To• Mike Kloberdanz <br /> City Modesto, CA Zip 95357 (old shell stiion) �� <br /> c <br /> Project ID McDowell & Davis towing-EscalonLab Use <br /> 4 <br /> r �� ti`I ...... _._ <br /> (P } <br /> (Print Name ��}} j °' <br /> Iq <br /> Sampled By z a ei G!1 CXRU^j a 1� ► �t`'} ! <br /> o r1tz <br /> (signature) Containero G \^o� <br /> Sample type Q" ` 61 <br /> le Lab ID# <br /> Date TIllle Grab Comp Matrix p ;TYlpe Size Q^ �i p.i <br /> X WW MW-1 Asort 4 <br /> Remarks; <br /> X WW MW-2 G Asort 4 <br /> X WW MW-3 G JA8ort 4 ry 1 <br /> ?,4-;lj X WW Trip Blank G Voa 1 t� <br /> i <br /> i <br /> Remarks <br /> 4 Note= (Needs EDF <br /> Relinquished by(signature) Date Time Recei y(Signal ) Dat Time <br /> Relinquished by(Signature) Date Time Rec ved b nat e) Date Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL ©-NaOH Q-Na2s203 Q-HNO3 Q-Hz S 04 Q-Other (ODrinking Water OWaste Water 4WHazardous Waste(Water) ©So0oiid <br /> Site Time: Driving Time: ull'ItO tc' ime lvlileage <br /> Start; Finish: Total Hours: Start: Site Arrival: x2=Total: <br /> Turnaround Time ❑Standard ❑Silver Rush ❑Gold Rush ❑Platinum Rush pother. Approved By: <br />