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GeoAnalytical Laboratories, Inc. Lab Report# o!q - (7-0 <br /> Regulatory DYes ONo CC: ❑Yes Mo <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br />. Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: (&,.) ) S7.7 — 96 <br /> Client: CHAIN OF CUSTODY Fax: 57.7 -7 1 <br /> 5 <br /> Address: P- O s5 rr,c;�ti _ 10EDF CI EDT Original To: ► <br /> City_ �,��� C�_A Zip 9S 7 © FIELD LOGS C.0 To. <br /> Project ID _ Lab Use Only <br /> 7 00911+(z <br /> (Print Name) <br /> Sampled By <br /> (Signature UQ a <br /> Container U > <br /> Sample typez �4/ Lab ID# a� <br /> Sample ID L. <br /> Date Time Grab Comp Matrix p 'type Size <br /> b -2•1/3v1?", wv� fy1w - i Remarks j <br /> i S 41 <br /> Remarks <br /> P,0 <br /> Relinquished by(Signature) Date Time Received (Signature) Date Time <br /> -� -d� 2 9!� <br /> Relinquished by(Signature) Date Time Rec iv d by(Signature) Dae Time <br /> Preservative: Matrix <br /> O4000 HCLO NaOHO Na2S2O3©-HNO, O-H S O O Other Drinking Water®Waste Water 40 Hazardous Waste(Water)©Sail/solid <br /> Pump Truck Time Mileage <br /> Bailers 3 55 Gallon Drums � ® D <br /> Tarnamund'n— 19SI—dard ❑sitvn Rush ncad Rosh rTPlnNnom Rnsh nrwh— Approved By: <br />