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GeoAnalytical Laboratories, Inc. Lab Report# (,0 l Z- 15 <br /> Regulatory CJ Yes ❑ No <br /> 0000 <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209) 572-0916 <br /> Phone: (Z01 <br /> Client: - ( CHAIN OF CUSTODY Fax: ( ) <br /> Address: Ir �J �lt,f U To: �� yQS u- <br /> City ) 'A Lip <br /> Project ID (4 n\.k.C Lab Use Only <br /> (Print Name) <br /> Sampled By = g, <br /> (Signature) Container <br /> Sample typeQ c '_t_ Lab ID# <br /> Date Timeb Comp btatrix Sample ID Type size <br /> Gra <br /> 'Y ,- Remarks <br /> Remarks <br /> FRelin ed D e Time Recek, by( ign tur Dat rime <br /> _ �elinquished by(Signature) Date lune Received by(Si ature) Dale Time <br /> Preservative: 1Q-4°C 20-HCI 3Q-NaOH ®-Na2S20 (5)-HNO, ©-H2S 01 (D-Other_ _ @-Other <br /> Site Time: Driving Time: Total Hours <br /> Q.— .- "r ...1 1I..._.. Start: Q;1n An'wnl' :>>. <br />