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r�■■ r• � r w r• � r. r• r• r�2� !�' s rt' <br /> Lab Report # <br /> �-- - 4 Anal tical LaboraAries Inc. <br /> Geo y <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> 53� - z/ <br /> C S CHAIN OF CUSTODY Fax: 53 3$0 Z <br /> Client: <br /> Address: I Y 92 ma-111n, PA y To: <br /> 2 <br /> S b Lc{ k C4 —Zip—17527z) <br /> Project ID Tr u c Y, Co l d S��G 'e- V <br /> (Print Name) <br /> Sampled By (Signature) Container Lab ID# <br /> w <br /> � w <br /> 0 <br /> Sample type Sample ID ° <br /> Date Time mp Matrix P Type Size z <br /> Grab Co <br /> 7 1125 <br /> 71271q g- ly3� PH- V- 15r� f a 1 <br /> 777y6' IY35 y PN - y� 1s- f 1 <br /> 7 271fS" 151- fd <br /> i-52D X pN -- s <br /> 7/2 7 Iq Y- 1530 X 2 <br /> i 7/zrl9� lass � x Zz <br /> 7/2 715 3 j('00 <br /> 7/z1�9 �Z X Ptl- 7 -15 i X <br /> 7/279 F 1 x PM - - ,'�' <br /> Remarks <br /> i <br /> �aEe Time Re Ned ( i n ure Dat Time <br /> Relinqut hed by (Si natu e) 7/Z���$ 15 V 1 - �Q <br /> Relinquished by (Signature) Date Time Rec ved y(Signature) <br /> Date Time <br /> Relinquished by (Signature) <br /> Date Time Received At Laboratory by(Signature) Date Tirne <br /> Driving Time: Total Flours <br /> Site Time: Finish: Tata!Hours: <br /> MileagStart: Site Arrival: x2= <br /> Start: <br /> Approved By <br /> e __ <br />