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• Lab Report# V�� <br /> �•` �e� GeoAnalytical Laboratories, Inc. <br /> Regulatory ❑ Yes © No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: ( ) S 3 ' '�t Z 1 <br /> Client: .� C S CHAIN OF CUSTODY Fax: <br /> Address: y� ��i, �� To: Cr� � <br /> City S0--, tmQ ��- - zip r S3 7 n <br /> Project ID !Fa Co /d S ✓cr c- l+ Lab Use Only <br /> (Print Name) V ~� <br /> Sampled By <br /> (Signature) Container UIsk <br /> Sample typeSam le ID z Lali ID# <br /> Sample <br /> Date Time -G.b7 Comp Matrix 'type Size <br /> r 1305 Z X Remarks ...: ! <br /> 9/3o Q 1310 X No- k %,-e it X <br /> Remarks <br /> Relinquished by(Signature) ` Date Time Received y(Signal ate Time <br /> Q/3�79&- /y/s y y 'a <br />� Relinquished by(Signature) <br /> Date 'time Rea' cd b (Signature) Date Time <br /> Presetvative: Q-4°C Q-HCl (D-NaOH ®-Na2S203 0-HNO3 0-H2S 0; (D-Other ®-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish- Total Hours: SM' Site Arrival: x2= <br />,_ Mileage: Approved By: <br />