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GeoAnalY tical Laboratofes Inc. Lab Report# <br /> Regulatory Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: {209} 572-0916 Regulator: <br /> Phone: �Jai ) <br /> Client_ a— CHAIN OF CUSTODY Fax: ( ) <br /> 4� <br /> Address: pcl, `f To: <br /> City Zip <br /> Project ID --a Lab Use Only <br /> (A ' t Nam } <br /> Sampled By <br /> (Signa[ Container <br /> O <br /> Sample typ Z (�'`! U� Lab ID# c <br /> Date Time Sample ID p„ <br /> Grab Comp Matrix type Size <br /> _ ! (Jp o� Remarks <br /> -? L 334b � <br /> - <br /> J:L44 too <br /> Remarks <br /> Re' uis d b (S natu Date Time Received by(Sign ) Date Ttme <br /> Relinquished by(Stgn ure) Date Time Received y(Sig e) Date Time <br /> Preservative: iQ-4°C &HCI Q-NaOH ®-Na2S203 QQ -HNO3 ®-H2S O4 Q-Other ®-Other <br /> Site Tiinw: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Stan' Site Arrival: x2= <br /> Mileage: Approved By: <br />