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.....w+....•.•r.............,.......�e�•w.w..a«.w«-.+w�ana�».a..wnrynwwe.w.*i.r.h.r-+Fn+�-.�....,«,,..«..,.•r,�wq*ya�•+••..««..«..A-uw.wn--..Mrgw+.rw�w. +e*w�ww�+Y.�y+«"M P* <br /> - -- 1 C�l1 Labont 01 I e s 1.11C. Lab Report # <br /> 6eohalyt <br /> Regulatory es ❑ No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-091 G Regulator: �.. � <br /> Phone: (Z4f) X33 "tom 7S� <br /> Client:UU)/2/ta/Vr V12,M1K�t#W& CHAIN Of rax: (z©t <br /> Actress: <br /> 67 ,F, . /Q " f s1-.- CUSTODY To: Jo �. <br /> T �/7 r <br /> _ Lab Use Only <br /> Project ID �� /yf T �$�Ci9-LON � � ,��G1�Q a . <br /> (Print Name) > . <br /> Sampled By Qk <br /> A.4 y <br /> (Print Name) Container �Q' Q �` (� > <br /> Lab ID# 4 <br /> Simple type sample ID r_ \� � . � � � � � <br /> Grab Cutup Matrix Type Sisc / Remarks <br /> Date Time <br /> -Z3 <br /> 3 � J <br /> 7` <br /> 2.07 1 1 1 1 r <br /> x — <br /> j J . <br /> Z f _.II5 <br /> /Z Y-7 <br /> W3 l <br /> ZS' { — <br /> 71 <br /> Remarks <br /> )L4�? ate Time Riv d y m tt e i D�teTime <br /> � <br /> ece <br /> Relinquished b (Si nature <br /> Relinquished by(Signature) Date 'rime Received by(Signature) Date Time <br /> Preservative: 1Q-4°C 6-HCI 03 -NaOH ®-Na2S203 Q5 -HNO3 ©-H2S 04 0-0thers ®-Others <br /> Site"I'in)e: Driving"1•ime: Clea x2 o al Hours <br /> Start: 3 Site Arrival:/f <br /> Start: w Finish: Total Hours: O <br />