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GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory ?4 Yes ❑ No CC Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900L6,.a/ <br /> Modesto, CA 95351 Fax: (209)572-0916 Phone: <br /> Phone: (2D�) $t F� <br /> Client: _� �� � � �_ _ CHAIN OF CUSTODY Fax: (tea ) ,- <br /> Address: �� D `J 7C� Original To <br /> City Zip 9S-3-5-7 <br /> Project ID t)Cd $'SIF« 56Ah-olj Lab Use Only <br /> (Print Name) <br /> -- <br /> By <br /> y <br /> Sampled B (Signature) " <br /> Container o <br /> Sample type 4' L <br /> Date Time Sample ID z Lab ID# <br /> Crab Comp M_j <br /> atrix Type Size <br /> 1!-2rJ W Li - Z Remarks' <br /> zI <br /> L3 <br /> Remarks <br /> Relinquished (Signature) <br /> Date Time Ree ive y(Signature) Date Time <br /> FD <br /> Z:/SRelinquished by(Signature) ate Time Received by(Signature) Da1e Time <br /> Preservative Matrix ---- — <br /> Q-40C ©-HCL ©-Na0H 0-Na2S203 10-HNO3 @-112 S 0, O-Other 49Drinking Water oWaste Water 11WHazardous Waste(Water) ©Soii/Solid <br /> Site Time: <br /> Ste: ? Finish: Driving Time: �� 1 Tiinc tvlileage <br /> Total Hours: -3 "ItIo <br /> . 1 _ <br /> i / Site Amvak�© X2Nutat: ! 7x Z� 3 <br /> L l'„mat �..,� .,,1+rr ;I,..-.� nn� , . r . - L L .-' L <br />