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nal tical Laboratories, Inc. Lab Report # <br /> GeoAy <br /> •-- - <br /> Regulatory ❑ Yes O No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209)572-0916 <br /> Phone: ( ) <br /> Client: CHAIN Or CUSTODY rax: ( ) <br /> Address:� h To: <br /> City �f��� -1— C'Q zip :SS <br /> Lab Use Only <br /> Project ID <br /> S <br /> (Print <br /> Sampled By <br /> L <br /> r,. <br /> (Signature Container o _ <br /> Sample V: Lat `ID# u <br /> Sample ID <br /> Date Time Crab Comp Matrix Type Size <br /> tw Remarks11K_ 9 A1 <br /> Remarks <br /> RCA trd b ($ignat ) Date 'rime wed by to ture) Time <br /> Relinquished by(Si ua) Uatt '1 iuK 'ecrived by ignaturt) Date Tttne <br /> Preservative: 1Q-4°C Q2 -HCl &NaOH ®-Na2S203 5Q-HNO3 0-H2S 01 7Q-Other ®-Other <br /> Site Time: Driving Time: Taal Hours <br /> Star rnish: Total[lours: Stan. Site Arrival: x2= <br />