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. . <br /> r <br /> CenoAnalyt�cal Laborat ies, Inc. Lab Report# 3` 9 <br /> Regulatory Ll Yes ❑ No CC: © Yes 1&0 <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 ' Fax: (209) 572-0916 <br /> Phone: <br /> Client: j` ��� . CHAIN OF CUSTODY Fax: ( ) <br /> Address: fc- B 6 X y,27 Original To: fl L <br /> City Zip 9 5 /��✓ <br /> Project ID RV p(Print <br /> Q� ti� Lab Use Only <br /> NaSampled Byture) Containerample type o 4y�� W <br /> Lab TD# <br /> Date Time Sample ID z >< i <br /> Grab Comp Matrix Type Size f 0. <br /> W - GRemarks: <br /> /J14,a.6 <br /> — c <br /> Z'3 <br /> Z 33 <br /> VJ i <br /> '12:14Im <br /> w <br /> Remarks ' <br /> Relinquished by(Signa(ure) Date Time Received by(Signature Date Time <br /> i0 <br /> Relinquished by(Signature) Date Time ceived by(Signature) Date Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL Q-Na.OH Q-Na2S20, 0-HNO3 (D-H2 S O4 Q-Other @Drinking Water GWaste Water(WHazardous Waste(Water) ©Soii/Soiid <br /> I� <br /> Site Time: Driving Time: Time Mileage <br /> Start: Finish: Total Hours: Start: Site Arrival: x2-Total: <br /> Turnaround Time 0SIandard ❑Silver Rash ❑Gold Rush ❑Platinum Rush C10ther: Approved By: <br />