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GeoAnal tical Laborasies Inc. Lab Report# <br /> 07t <br /> Regulatory ❑ Yes ❑ No c� <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (.Ze4�) IrG <br /> Client: CHAIN OF CUSTODY Fax: { ) <br /> Address: r) s _( To: <br /> City Zip �� — <br /> Project ID ! Lab Use Only <br /> (Pi t Nam? <br /> p t L <br /> Sam led By <br /> (Sign Container Y <br /> `q v <br /> Sample t pe d Lab ID# <br /> Date TimeGrab Comp Matrix mple ID Type size <br /> / y <br /> _11 ! �e /� Remarks `S <br /> A- <br /> G _ r f 2 <br /> - .' IS r r • � A � .•� .. <br /> ! r �- <br /> i A <br /> Rclnarks e 5 sf� r' �t� ;►� is IL / Z <br /> D'JIC Timek cci ;db i� tur <br /> Date Time _ <br /> Kel' i eJ b ignat r) c � a zl��S � <br /> s <br /> y <br /> el inquisheJ by 1Si azure) Date littte eceiveJ by(Sigitato Date time <br /> Preservative: ®-4°C 02 -HCI 3Q-NaOH ®-Na2S203 Q5 -HNO3 ©-H2 4 @-Other ®-Other <br /> Sire Tirne: Driving Time: 'total Flours <br /> Start: Finish: Total Flours: Start' Site Arrival: x2= <br /> Mileage: Approved By: <br />