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r <br /> L.�b Rc ort# <br /> -- --. GeoAnalytical Laboratories, Inc. <br /> Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: C <br /> Client: . CHAIN OF CUSTODY Fax: { } c <br /> Address: To: <br /> City zips 5> <br /> Project ID `( ,� '� c Lab Use Only <br /> (Pripp�fa>re) <br /> Sampled By r <br /> (Sign Container <br /> o �` <br /> Sam !e t )e u <br /> o <br /> P Yl t Sam le ID t LAY ID# ` <br /> Date Time Crib Comp Matrix p Type Size <br /> �{ dC RemarksME <br /> �'. <br /> ( —t �i ✓ dt .L t,-QZ 3,l <br />`s Remarks <br />/ <br /> Ref iistte b 'i <br /> • utstut Dale 'liux i r Dau Time <br /> r tled by 'ignature) Date 1inie kcceived by(Si rture) Date i� <br /> Preservative: 1Q-4°C 02 -HCI Q-Na0H ®-Na2S20:, (D-HNO3 ®-H-SO 7Q-Other ®-Other <br /> Site Tina: Driving Timc: Total Hours <br /> Slxrt: T'inish: Total flours: Stan: Site Arrival: x2= <br />