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GeoAnalytical Labora n.ries, Inc. Lao Keport fF <br /> -- <br /> Regulatory ❑ Yes ❑ No CC: ❑ Ye Na <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 San Joaquin Modesto,CA 95351 Fax: (209)572-0916 Regulator: 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 576981 �i 'e� (4j ys Original To: Mike Kloberdanz <br /> City Modesto, CA Zip 95357 (old she 1 station) <br /> Project ID McDowell & Davis towing-Escalon <br /> (Print Name) Lab Use Only <br /> Sampled By c� el r <br /> (Signature) c y <br /> Container W <br /> Sample type CV <br /> Date Time S pie ID z ,4�1 Lab ID# <br /> Grab Comp Matrix Type Size <br /> X WW MW-1 G AsortJ� <br /> Remarks t <br /> v X WW MW-2 G Asort 4 <br /> -'3 Y X WW MW-3 G-11 Asort 4 <br /> (� X I WW Trip Blank G Voa 1 <br /> Remarks I <br /> Note- (Needs EDF 'T'`• <br /> Relinquished by(Signature) ate Time e v by(S'gnature) D to Time <br /> si—/r—VZ- 1't5a ij <br /> Relinquished by(Signature) Date Time ce by(Signature)I D to Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL ©-NaOH Q-Na2S203 Q-HNO3 Q-H2 SO, Q-Other 49Drinking Water GWaste Water 41Hazardous Waste (Water) ©SoiilSolid <br /> Site Time: Driving Time: Time Milea e <br /> Start: Finish: Total Hours: Start: Site Arrival: x2=Total: r <br /> Turnaround Time QStandard ❑Silver Rush QGold Rush OPlatinum Rush ❑Other: Approved By: <br />