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GeoAnalilical Laboratoi yes. Inc. Lab Report 07 <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulatory Yes No <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: (CJS ) •77- <br /> Client: R Di�A-ti'�i�1 ��>l�iv C,? c� CHAIN Of Fax <br /> Adress: // fo 5CUSTODY To: -Y/V <br /> 4i,o7'�V; Com- zip <br /> Project ID �w .r�2 �y t,1;.'/V�.n� —l:�p�;��' ��_ Lab Use OnJN <br /> (Print Name,) <br /> Sampled Br <br /> (Print Name) C <br /> r _ <br /> ontainer <br /> - =n <br /> Sample type <br /> 1.-ab-ID# <br /> Sample ID z ;- <br /> Date Time Grab Comb Matrix 'Type sixe Remarks <br /> i <br /> Remarks <br /> Reiinq Signature) Date Time Rec�iv{�by(Sienature�- �� �D e Time <br /> Rehnquishe y Signature) Date Time Received by;Signaiure) Date Time <br /> Preservative: Q-4°C ©-HCI 03 -NaOH ®-Na2S,03 &HNO3 ©-H,,S 04 7)-Others ®-Others <br /> Site Time: / Driving Time: L Total Hours <br /> Start: Lr5 Finish: Total Hours: Stan: Site Arrival: x2= <br /> Mileage: �7 !� Z y z0 /!/i,�+-z-5 <br /> Approved By: <br />