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-< Lab Report# <br /> x - GeoAnalytical Laboratories, Inc. <br /> Regulatory Dyes ©No CC: E3Yes ONo <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> - Modesto, CA 95351 Fax: (209)572-0916 Regulator: <br /> 209) 577-8186 <br /> Phone: { <br /> Client: M•J • Klobeirdanz & Associates CHAIN OF CUSTODY Fag; (209) 577-8158 <br /> Address: P.O. Box 576981 OEDF D EDT Original To: <br /> City Modesto,CA Zip 95357 FIELD LOGS C.0 To: 4 <br /> - -- <br /> Project ID Pombo Ranch Quarterly � �, Lab Use Otily <br /> (Print Name} <br /> Sampled By <br /> a <br /> (Signature) Container U �Qr J <br /> 0 <br /> Sample type z Lail 1 ;. <br /> Date Time Sample ID Size Q ,..` <br /> Grab Comp Matri, Type Remark <br /> X WW MW-1 G Voa 4 <br /> X WW MW-2 G Voa 4 <br /> f X WW MW-3 G Voa 4 'X P <br /> / X TriBlank G Voa 1 PSV) � <br /> Remarks <br /> Relinquished by(Signature) Date Time Received by(§ignahcre) Date, Time <br /> -7 - <br /> Relinquished by(Signature) Date Time Receiv ( ignature) Date, Time <br /> Preservative: Matrix <br /> 0 4°CO HCLO-NaOHO NaZ5z03©-HN0, 0-H SO, O-Other M Drinking Water®Waste Water Hazardous Waste(Water) �SolllSolid <br /> [Sm T Time Mileage <br /> alters 55 Gallon Drums Puw � <br /> _ Approved By: <br />