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T - <br /> 21 ' 0 <br /> GeoAnalytical Laboratories, Inc. Lab Report g Regulatory gu atory O Yes O No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: ( ) <br /> Client: 7110RPA O/s. CHAIN OF CUSTODY rax: ( ) <br /> Address:- 35r Nt '8r_e.krna.,n Rat To: <br /> City 1364 t Zip <br /> Project ID C600 Lab Use Only <br /> (Print Name) <br /> co'� <br /> Sampled By &ICRIIAO 04"Aik *• <br /> n4 �r <br /> (Sign ure) Container <br /> Sample type ��► .tib 1<D �i! <br /> Sample ID ¢; <br /> Date Time ct.b co Matri: p Type Size <br /> /I (59 - I Remarks ,fit <br /> ✓ 11k z 22.0 <br /> I /3 <br /> b <br /> 1- a <br /> Remarks <br /> linquished by(Sigt►aturo) Date Tithe Received by(, ure) Time <br /> 1(11719V' 3i#-f /1 /7 <br /> Relinquished by(Signature) Date Time Re tj <br /> i by(Signature) Dale nrw <br /> Preservative: Q-4°C 0-14CI ®-NaOH ®-Na2S203 ®-HNO3 Q-H2S 04 @-Other ®-Other <br /> Site Time: Wvins Time: Total Hours <br /> Start: finish: 7btal Hours: Std: She Arrival: s14 <br /> 19 ca <br /> Mileage: .3Q m% 1e_1 Approved By: <br />