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mm m m IMI <br /> 10 <br /> Lau Report# <br /> 116or•.— GeoAnalytical Laboratories, Inc. Regulatory ' LYes O No <br /> 1405 Kansas Avenue Pltolse: (209) 572-0900 r' ,tJC'C <br /> Regulator: <br /> Modesto,CA 95351 lax: (209) 572-0916 <br /> Phonc; ( } <br /> Client: r �C- CHAIN Or CUSTODY Tax: ( ) <br /> C� To: �r LL <br /> Address:___ - <br /> City <br /> cA Zip 9 5_3 % <br /> Lab Use Only <br /> Project <br /> �• v <br /> P. <br /> (Print Name) <br /> Sampled By <br /> (Signature) Container <br /> O �. a <br /> Sample type a u Lab 1D# ia <br /> Sample ID x a <br /> Date Time p ryllr sl« x <br /> �7 <br /> Grab C-11 Matrix tiernarks TC <br /> 3Y � is L12 <br /> Remark's <br /> � C�.•'�7,�ir�t lel /e�7� /f�T, - <br /> ItetifuluisllcJ by(Signaulre) talc �rinw ll/alt <br /> (aku� <br /> Iz-/J'is r2_y5— <br /> Kclilwluislwd by(Signauue) Dale liule terclvcJ by(Slg lure) Date lime <br /> LO <br /> Preservative: O-4°C 0-HCI Q-NaOH 4Q-Na2s20,, Q5 -HN0, ©-HzS 0, (2)-Other ®-Other <br /> Driving Time: 'foal Ilouts <br /> Site Time: <br /> Stat: finish; Total I lours: Starr Site Arrival; x2= <br /> Mileage: Approved By: <br />