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IM -T i GeoAnai tical Laboratories Inc. Lab Report # 20Gi <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: S �7- S021 <br /> Client: j� CTS _ CHAIN OF CUSTODY Fax: 5 2 - 3 r?) 9 <br /> Address: I Y l-Y ? I1�a (.yQ,/ To: C <br /> Zip 4 S 3 7 D <br /> Project ID J a c Y, (c, o` 5 �G e- <br /> (Print Name) Crl{K <br /> Sampled By ~' <br /> (Signature) ,, Container <br /> Lab ID# <br /> Sample type O <br /> Date Time — Sample ID Type Size z° <br /> Ura6 C..P Mairix <br /> 7719 t7Yo K 5'W--1z - r5 ' <br /> 7/2f/9r I7i17i <br /> 7/2i-/9 D815 X SW —ID -_1_2 f A 711 . <br /> 7 2?Ig a 93'S x sw - 1 - 2 r I 4 <br /> Remarks <br /> Rel*n i h by (Signal e) I <br /> 7qat�5'>s Time R e ed ( i to c -� r.D�atferii <br /> Z�Relinquished by (Signature) Date Time R ei ed by(Sig ature) Datme <br /> Relinquished by (Signature) Date Time Re ived At Laboratory by(Signature) Dame <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />