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• Lab Report # 117) - 1 Z <br /> � GeoAnalytYcal Labora ories, Inc, _ <br /> me m' <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> �� 61855 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> C Z09) 5-3 2- <br /> Phone <br /> Client J CHAIN OF CUSTODY Fax <br /> Address � <br /> _ _ _OK_ 3`fTo <br /> 5n .0 A . 2113 95"s 7-0 <br /> Project ID 7 r Ae (—D I d S ,-a e-, <br /> tint Name) <br /> Sampled By (Signature) <br /> Container U <br /> Q Lab ID# <br /> Sampl�C.me <br /> O <br /> Date Time Sample ID <br /> GrabNlatnx Type Size Z <br /> ('119h& IZ:"i`4 V W row5-- 3LAWK G VDA 1 3 s <br /> 1 Z 6-0 ✓ of MWS-- G Von, Z <br /> 61i5 13% 10 V v✓ W-f - 3LAKG VQA 1 a4 <br /> 61(119G . 1*3 t3 v W w '? - w G VOA 1Z <br /> 6 13, 35 l/ int Mw - r LAMY, G V6A 1 3 5a <br /> MI 3 3 v w Mw 9 - vX/ V0A zsay <br /> (a)lqko 0 nnwCJ -'BLAN le, G VQA E 1 <br /> Gr5o1 ' z v VJ - w G u zx <br /> (o [g q(p Iq I V w nn - 13 e A Nk G VVA i 3 9'7 <br /> t14. rpt' t 3 w rA vJ& - w VOA z x 1Y a4 <br /> 19 5( v W PAW 1 —13LANl<- 1 VOA 1 3,7 <br /> l 11.3 t V w ?- 0 2 3530 <br /> Remarks <br /> Relinq ite by (Sirt e) *ate Time Re ed by( ignat a Da Time <br /> 1wiZ <br /> Relin s ed by ( ignat e) pTime Received by(Signature) Date Time <br /> '/,//I/A 17Sf <br /> Relinquished by (Signature) Date Time R eived At Laboratory by(Signature) Date Time <br /> Site Time Dnving Time Total Hours <br /> Start Finish Total Hours Start Site Arrival x2= <br /> Mileage Approved By <br />