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GeoAnal tical Labora� r' Lab Report # <br /> Y o Yes, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> r <br /> ,. ..._ ., „ Phone: S 3 7 <br /> Client: CHAIN OF CUSTODY Fax: 3 7 3 �6 9 <br /> Address: 1 or,o Lia To: l{ <br /> O7L &- S C ZIP 9l.S 3-7'D <br /> Project ID -rj G C C-0 S i s �L <br /> (Print Name) C, C,t tj <br /> a yr���Cv <br /> Sampled By (Signature) <br /> Container a <br /> Q e`' Lab ID # <br /> Sample type o <br /> Date Time Sample ID o <br /> Grab Comp Matrix T}'pe Size Z <br /> 91zz/9& 133 iw - 7 2 3 <br /> Z 5 <br /> i <br /> Remarks / / <br /> Relinquish d y (Sign ure} � D7at e � 3 Recei ed by Si natur ) f at Time <br /> Relinquished by (Signature) Date Time R eiv by(Signature) to Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date "lime I <br /> Site Time: Drivin Time: <br /> g Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />