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t C t i t [ [ [ [ t t [ [ t [ t t [ [ <br /> GeoAnalytical Laboratories, Inc. Lab Report g 1 0l3 <br /> Regulatory ElVes E3No CC: Yes 0 No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: (der) S?� <br /> Client: Ivy /AnLCHAIN OF CUSTODY Fax: (1-&j) 55 > K l ci r <br /> Address: <br /> `��� Gzrx ��� Jif AEDF 13 EDT Original To: <br /> City /"C 6 ,�Z �— Zip ! w`� CI FIELD LOGS C.0 To: <br /> Project ID �� Lab Use Only <br /> (Print N e �� <br /> Sampled By <br /> (Signature) Container <br /> o \ <br /> Sample type Lair 10# <br /> Sample ID zk a <br /> Date Time grab Comp hlatriType Size Remar —`i <br /> =c ✓ <br /> Remarks <br /> d - a It c<,�•� .t,K�L `� s,�1 w.�� It; >c �JT�� t l .c.,%.tj oti,ti <br /> Rclinqui h 2( guatu Pale,, Time Received by(Si na re Date ime <br /> .•j <br /> Re s c h.' (Signature) ate Time lkved by(S' natu e) Date Time <br /> Preservative: Matrix <br /> O4°C©HCLO-NaOHO Na2S203©-HNO3 O-H S O4 0-Other Drinking Water®Waste Water ® Hazardous Waste(Water)©SoiUSolid <br /> Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums_ 13 <br /> Approved By: <br /> Turnaround Time ❑Standard ❑Silver Rush Culd Rush Plalin—Rush Qoth,r <br />