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rr r r r r �■■ r r r r r� rr <br /> port U Report e # <br /> mown—mown— GeoAnalytYcal Laboratows, Inc. Lab <br /> 5� <br /> Regulatorye <br /> ❑Yes C3No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (;Zoj ) <br /> !� � � �-- �s r_ r drs CHAIN Or CUSTODY T o: <br /> g&Z r_M16 <br /> Client: <br /> � T� � L <br /> Address <br /> A:/ / J <br /> City J1�! A�! G 4 r � — zip� JS <br /> . � Lab Use Only <br /> Project 1D y �� a <br /> (PriNam l g �,Gj <br /> Sampled By ,` ) b 0 y ` C° <br /> (Sig Container U <br /> Sample t peLal TD# <br /> Sample ID All <br /> Date TimeType Size <br /> Grab Comp Matrix <br /> i Remarks <br /> P <br /> ZQ, <br /> ILA <br /> ! C f <br /> _ h <br /> Remarks <br /> k i tetlh Sin ure Date Tillie 1 cri r r`�narurrd/ J Date lime <br /> krlirtyuishctt b gesture) <br /> Date Time ccrivrd by(Signal r} Date Tune <br /> Preservative: 1Q-40C 0-HC! Q-NaOH ®-Na2S2O3 Q-HNO3 ®-H2SO4 Q-Other (@-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total flours: Start. Site Arrival: x2= <br /> Mileage: Approved By: _ <br />