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_ Lab Report# <br /> .�.� GeoAnalytieal Laboratories, Inc. Regulatory 0 Yes O No <br /> w <br /> 1405 Kansas Avenue Phone: (209 j 572-0900 Regulator: <br /> W <br /> Fax: (2109)572-0916 o <br /> Modesto,CA 95351 <br /> Phone: ( ) w <br /> 0 <br /> Client: CHAIN OF CUSTODY Fax: f ) r <br /> r <br /> Address:_ 141"? saUly <br /> City - Zip <br /> � Lab Use Only -no, �' b <br /> Project ID r� < o <br /> a yam~ Y 3 <br /> (Pont Name) � <br /> Sampled By (Signature) Container ; U7 <br /> Q s <br /> s q v :fah ID# o <br /> $ampte type Sample ID Tri size z � � � � � <br /> Date Time Crnb Comp Matrix L <br /> T—T <br /> i Remarks f <br /> r; j <br /> ✓ V <br /> �.._ . <br /> : 6- <br /> r <br /> 1 ` 5 <br /> 0 <br /> Remarks <br /> m <br /> Date Time by(Signature) <br /> at Time r' <br /> Relinquished by(Si nature.) q �I W <br /> r Qg <br /> (9,3 0 C��s.`..-- <br /> Date Time <br /> ORelinquished by lSignature) date Time Reeeivcd by(Signetute) <br /> v Preservative: 0-400 0-HCI Q)-NaOH (@-Na2S203 �5-HNQa -HzS O& Q-other <br /> (D-Other <br /> Driving Time: �r� <br /> Sim Time: S : Site Arrival: f x� <br /> Stmt: (00 Finish: Total Flours: tats <br />