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GeoAnalytical Labora&ies, Inc. Lab Report# �- 13, <br /> Regulatory ©Yes O No CC: Mes qWQ No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto, CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: { ) <br /> Client: M,1 , ��.�.,� - i4 ssc+c►makes _ CHAIN OF CUSTODY Fax: ( } <br /> Address: P.6. I - ®EDF 13 EDT Original To: <br /> City 01,411-'547- K:A Zip 4535] _ ® FIELD LOGS C.0 To: 1 <br /> Project ID GI Lab Use Only <br /> (Print Name) a i <br /> Sampled By e- <br /> (Signatur Container <br /> Sample type <br /> pz <br /> Sample ID <br /> Date <br /> Time Grab Comp Matri ape Size Remar v s <br /> iiia <br /> r - 2� <br /> D' 't x "1 <br /> 7' 1V . <br /> Remarks <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> -1-tit-0q �-/�o -i -0q Z t <br /> Relingaisbcd by{Signalurc) Date Time Received by(Signature) Date Time <br /> Preservative: Matrix <br /> O4°Ce HCLO-NaOHO NazS203©-HNO3 O-H 04 O-Other Drinking Water 0 Waste Water ® Hazardous Waste(Water) OSoillSolid <br /> Pump Truck TimeMileage <br /> Bailers_L055 Gallon Drums El5 <br /> � Approved By: <br /> larnarvmnd Timv 1154andard ❑Silver Rush QGAdRush Platinum Rush 001her <br /> v I <br />