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Lab Report# <br /> GeoAnal tical Laboratoks Inc, <br /> Regulatory es ❑ No ' <br /> 1405 Kansas Avenue Phone: (209) 572-0900 [�] <br /> Modesto, CA 95351 rax: (209) 572-0916 Regulator: <br /> I'bone: ( } �,r., <br /> d <br /> Client: c. CHAIN Or CUSTODY rax: <br /> AddressD. ��Z 7 'I'o: <br /> : L <br /> City C Zip l <br /> Project lll C [" Lab Use Only <br /> (Print Name) <br /> Sampled By C7 C y <br /> (Signature) Container <br /> Sample type r Lab ID # ti <br /> Date Time Semple 1D <br /> Grab Cutup Matr'x Type Size <br /> /0-W 13,6 3 �1�/ <br /> Remarks <br /> 206 Yn w 3 <br /> � I <br /> Z: Z <br /> '+rfr <br /> i <br /> Remarks <br /> ZC- <br /> / <br /> Itefiuquished by(SignNure) late Tittlef by Si• • r e) Date <br /> 7 <br /> M) PbAkM6") q-teLiq <br /> Relinquished by(Siguatta.e) Dale TillX <br /> ereived by(Sig lure) (late 'Buie <br /> f <br /> I <br /> Preservative: ®-4°C 0-HCI 3Q-NaOH ®-Na2S203 5&HNO3 ®-H,S 04 07 -Other ®-Other <br /> Site Tillie: �� 7 Dnvmp Tink: /�� I'ulal I luurs <br /> Start: M Finish' TotalIluurs: <br /> Slav; /25Z> Site Arrival: x2= <br /> Mileage: Approved By: <br />