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GeoAnal tical Laboratoms Inc. Lab Report# 352-- ! <br /> y Regulatory ❑ Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 l <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: { } S3 t <br /> �t C1 5- _ CHAIN OF CUSTODY Fax: ( } " 3 <br /> Client: , <br /> Address: t y y 7 Gri LX)ct To: C I +^ <br /> City C-"v6— Zip <br /> Prosect ID t y e— Lab Use Only <br /> (Print Name) r t�yt <br /> �< <br /> Sampled By <br /> (Signature) u° <br /> t� Container . z v J;6i. <br /> Sample type Sample ID <br /> Date Time <br /> Grab Comp Matrix Type Size <br /> tz�l ar/qs- 115V X M k/– 7 2 Remarks ; jj <br /> I <br /> 17 1 S/9fi 1,232- x t"t - z <br /> 'Air <br /> t i <br /> 1211 130X _t Z <br /> 12118)F8 1315 If W-clj <br /> Remarks <br /> Relinquished by(Signature) al8 rine Receiv Sign u ) tC / Time <br /> A21;7 i yob /zX 1 <br /> Relinquished by(Signature) dale Time Received by(Signature) Dalt Time <br /> Preservative: 1Q-4°C20-HCI Q-NaOH 'Q-Na2S203 Q5 -HNO3 ®-H2S O4 (D-Other ®-Other <br /> Sitt Tttt>t: Driving I law: Total Hours <br /> Sian: Finish: Taal Hours: Stan' Site Arrival: x2= <br /> Mileage: Approved By: <br />