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GeoAnal tzcal Laborato es Inc. Lab Report # <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 j <br /> Phone: `' 3 2- <br /> Client: G S CHAIN Or CUSTODY Fax: 53 3 y <br /> Address: PC) )Rr,X yl To: C, <br /> S �i C Zip <br /> Project ID f J A C [„I d S/Zy a <br /> (Print Name) <br /> OT 1,e <br /> Sampled By (Signature) - <br /> �„� Container n � <br /> Lab ID# i <br /> Sample type o <br /> Date Time crab Comp Matrix Sample ID Type Size z f <br /> 3/3DOry 1SC>b X w -7 <br /> )SOS X ri u,- 7 - IQ.t Ic 1 -3al51 <br /> 3c q 55a XM w-S - <br /> 31-:0 1 f M w- 9 - <br /> s -�Vy55 X <br /> 3/3v/f 8" i v ° X <br /> } gY Ibbl y 2 <br /> y'30 93 t�Z5 X w <br /> 3ficj qir G X �1w � f <br /> i <br /> I <br /> i <br /> Remarks <br /> Re inqut y (Sign ure ate tine ve b Si to N011% <br /> at Time <br /> 3�I9Cr i 7D 7 i-M <br /> Relinquished by (Signature) Date Time RVed by(Signal e) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> I <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= ; <br /> Mileage___. - Approved By <br />