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-7 r_,T F77 r_71 r7_7 rf <br /> M r- r-D 14 <br /> AA r f7 <br /> Anal tical Laboratories Inc. Lab Report# <br /> 101111111111— Geo y � <br /> 4 Regulatory ❑Yes ❑ No <br /> iba�am 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: <br /> Client: ��C� S CHAIN OF CUSTODY Fax: <br /> Address: 07"0 Lk_) ,X V To: _-- <br /> City_ SDh — Zip 7a- — <br /> Project ID f ra Ctro S �� d Lab Use Only <br /> (Print Name) <br /> Sampled By CT(( L_"14 <br /> (Signature).. Container t+. Q <br /> Sampo type \ Lab YD <br /> Date :Time Sample ID TYpe Size <br /> Grab Comp Matrix �,.. <br /> oR35 y wQ Remarks f <br /> D e_?7 ri - z 6 x <br /> 411 D835 <br /> Remarks <br /> R Relinquished by(Signature) - ate Time ecei b {Signature} Date Time <br /> �J 1641 � 1a D 116 v�o <br /> Relinquished by(Signature) Date Tune Received by(Signature) Date Time <br /> Preservative: 1Q-4°C Q-HCI (5)-NaOH 4Q-Na2S203 QQ -HNO3 ©-H2S 04 0-Other ®-Other <br /> Site Time: Driving Titne: Total Hours <br /> stars' Finish: Total Hours: Stan. Site Arrival: x2= <br /> Mileage: APProved By: <br />