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GeoAnalytical Labor&ries, Inc. Lab Report # <br /> NEW <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: 520 <br /> Client: r��u[o�.�C,'c /or 'nr Z _Sy C,6s CHAIN OF CUSTODY Fax: a,?Oct — 532-:38D2 <br /> Address:�(�. Y .��//�,� To: <br /> i�e-�7fCt Zip ✓`3 <br /> Project ID -�i :i e/ rQ e <br /> (Print Name f <br /> Sampled By rrL - 54+'1C[ Q, <br /> (Signature) Container U <br /> Q Lab ID# <br /> Sample type o <br /> Date Time Grab Comp Matrix Sample ID Type Size z <br /> 3 G <br /> l F13tq <br /> 3. - 3X rX <br /> 19-91 <br /> W •� <br /> �� ,� x g <br /> 12- - < Ll zJ rn - I 1 5 <br /> w_ 3 (� <br /> Remarks <br /> Rchnquis 'd by (Signatur } D to Time ve b {5 natu ��/Lc <br /> at Time <br /> qu' ed by (Signature) ate Time Recn y (Si77 gnature) I D to Time <br /> Relinquished by (Signature) Date Time Redived At Laboratory by(Signature) Date Time <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />