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Lwm�.- <br /> ��w <br /> Lab Re ort# �O )Z - ) (o <br /> !o... �: 7::;.� GeoAnalytical Laboratories, Inc. t - <br /> 0 Regulatory ❑ Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209) 572-0916 <br /> Phone: (�#J) ��.�-VI���� �(gzne,> <br /> Client: L ti CHAIN OF CUSTODY Fax: ( ) <br /> Address: Ck� To: h � 3' <br /> "c�? <br /> City L4.4/k O lJ �1� Zip �, I `z? <br /> a Lab Use Only <br /> Project ID �Lk <br /> (Print Name) <br /> Sampled By <br /> (Signature) Container <br /> Sample type i q Lab ID# L <br /> Sample ID Ty <br /> Date Time Grab Comp Mat.c <br /> Size <br /> pe h\ A" <br /> i <br /> Remarks <br /> Kelinqui,hcd by gttature) =DateTtmc Recet ed by Si_na ) Date Time <br /> Ft <br /> Retinqui d by(Signature) Date Tim=_ Received by( tgna <br /> 5unti) Date Time <br /> I _ <br /> Preservative: 1Q-4°C Q-HCI (@-NaOH (@-Na Q-HNO3 ©-H2S 0,, 7Q-Other __ __®-Other _ <br /> Drivms'Time! 'Total Hours <br />