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Lab Report# K <br /> �— GeoAnalytieal Laboratories, Inc. Regulatory ❑Yes 0 N Q z 7— <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> // Phone: (;tpj) -5-22 <br /> Client: CHAIN OF CUSTODY Fax: (Ze4 ) g2 7 S/Sg <br /> To: — <br /> Address: C �► <br /> CityZip q� <br /> Lab Use Only <br /> a <br /> Project ID <br /> (Pr Na e) <br /> Sampled By - <br /> (Signalur Container 7. <br /> Q Lab ID# <br /> s ,'.'= type Sample ID ` a <br /> Date Time Type Sae <br /> Cub Comp Matrix <br /> '/O. ✓ t —�� � � - � t Remarks <br /> _ 2p t <br /> N ✓ ✓ r <br /> d <br /> i <br /> Remarks <br /> Keliny:i xJ (Si azure) Date Itnx Receive) y( g tamre) at Tmte <br /> b ie j r1: y <br /> Relinquished by(S natur ♦ Date Iinx Recciv b (Signature) Date Tmx <br /> Preservative: iQ-4°C 2&HCI -NaOH ®-Na2S203 Q5 -HNO3 ©-H2S 04 Q7 -Other ®-Other <br /> SiteTime: Driving Time: Tout Hours <br /> Stan: Finish: Taal flours: – Stun: Site Arrival z2= <br />