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i <br /> �- GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory DYes Wo CC: Dyes D No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: (zoo) 5:2-7-T%776 <br /> Client: CHAIN OF CUSTODY Fax: (zo9 ) 5-77 - '9)5q — <br /> Address: . 60.7, 67blgl - D EDF D EDT Original To: M;ke KA b <br /> City Zip IELD LOGS C.0 To: <br /> C-►oba1 io Lab Use Only <br /> Project ID M <br /> (Print Name) <br /> y <br /> Sampled BY <br /> (Signatu Container <br /> Sample type ° <br /> � <br /> Sample ID ' <br /> Type Size I <br /> Date Time Grab Comp Matri Remar #.. <br /> _ b• 3 Ixf <br /> ?S )L <br /> Q'a3 _Z <br /> maj -3 y '` u <br /> f fs kX <br /> 5 - 106 <br /> 7;oi0rant 'T�r � t3irs n k, & , <br /> Remarks .k <br /> Date Time R eived ignature) _ ate Time <br /> Relinquished by(Signature) 2 CW <br /> ` <br /> - Z-LLS :5� <br /> Reiinquished by(Signature) <br /> Date Ti Rec ved by ignature) Dae Time <br /> Preservative: MatnX <br /> O4°CVHCL j&NaOH0 NazSzO,©-HNO3 O-H S O4 O-aher Drinking Water®Waste Water ® Hazardous Waste(Water) Soil/Solid <br /> Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums Z. <br /> Approved By: <br />