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GeoAnal tical Laboraf ri Lab Report # <br /> _ y o es, Inc. <br /> I405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: S3 Z — �;O-Z <br /> Client: Fax: 53 Z _?k0 9 <br /> CHAIN OF CUSTODY <br /> Address: [Is Y 7 M Ck o Way To: Gr it <br /> So �,rq C Pl Zip q'51 7D <br /> Project ID TIIA C D l u Sbru f e- <br /> (Print Name) LV�r•!t �� <br /> Sampled By C7��h ff <br /> (Signature) Container 0 <br /> Lab ID# <br /> Sample type O <br /> Date TimeSample ID Type Size 5 <br /> Grab Comp Matrix <br /> ?/z7 Q3 K Bc, 6% - � 7 ' t 7c ZIZb <br /> 7 �-iRY bg o t7 " 'f fig,S X21 y� <br /> Remarks <br /> Relinquished by,,(Signature ate Time 'v y ig at e -� Dat Time <br /> -%,:V ;0�"'� /Z�/qts 1 s 3 a /9(�g � <br /> Relinquished by (Signature) Date Time ce' ed by(Si tune) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2-- <br /> Mileage <br /> 2=Mileage __ Approved By <br />