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Lab Report# <br /> 1�•� —••� GeoAnalytieal Laboratories, Inc. Regulatory 0 Yes O No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: , <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: ( ) <br /> Client: /�F CHAIN Or CUSTODY Fax: ( ) <br /> To: <br /> Address: <br /> City Zip <br /> Q Lab Use Only <br /> Project ID p I! %to <br /> (Pri Name) y� <br /> Sampled By ^ r.A.- <br /> (Signature' �� Container <br /> W <br /> O � w <br /> �. <br /> Lab ID # <br /> Sample type <br /> Sample ID Type size f1, <br /> Date Time Grab Corm Matrix <br /> �( Remarks LZNN <br /> a i- CV t <br /> 16- 0 , - a <br /> b'. !fir' V I,)-- <br /> 'k <br /> D L 0 <br /> i D:3•L )( <zi 4 f-j <br /> FT I <br /> t <br /> llil � /3 1 G � 1-20 <br /> Remarks <br /> TJ <br /> Date Time R ",0 // <br /> ire llal <br /> Relinquished y(Si re) 1' <br /> Fh 001 X1.3 v <br /> Rel uished by(Signature) <br /> Date Time eceived by( Date Time <br /> 'Preservative: 1Q-4°C Q-HCI Q-NaOH ®-Na2S203 &HNO3 ©- 2 04 Q-Other ®-Other <br /> Driving Time: Total Hours <br /> Site Time: Slaw <br /> Site Arrival: x2= <br /> Start: Finish: <br /> Total Hours: <br /> Mileage: Approved By: - <br />