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Report# <br /> TAW— ...� GeoAnalytical Labor ato yes, IIlC. cs � <br /> Regulatory ;ONo <br /> 1405 Kansas Avenue Phone: (209) 572-0900 ltcgulalrsr: <br /> Modesto,CA 95351 lax: (209) 572-0916 <br /> I'llone: Cool;) <br /> Client: w 1`1 ANG CHAIN OF cus,rOUY hax: ( ) <br /> Address: S12-7 - <br /> City 7_ip <br /> Project ID <br /> rig• i' 1;` Lab Use Only <br /> (Print Nam <br /> Sampled By Yom" o ti► .:�, " '�/ � <br /> {Sibnawre) Container <br /> Lab hr ll) 0 <br /> Sample IyIYZ , 110. <br /> Sample IU � r <br /> Date •rime Gral+ Cump ?,Matrix •I•ype tike <br /> Remark,, <br /> :ZZ w <br /> ,�f <br /> Z T� W <br /> Remalls <br /> ak NLj 0 <br /> IteiintµrishcJ by lSignatutc) I rat lillw R..,ived l y lso a rr I Dole l ime <br /> Rclrtuluislred by(Signature) Dale I'iu>< RccelvrJ lry(5ignaRuk) Date link <br /> Preservativ iQ-4° 0-HCI 10-NaOH ®-Na 5Q-HNO, &HZS 04 7Q-Other ®-Other <br /> Sitc'finx: Ihiving'I'iuk; lnlallluurs <br /> 51ar1: 1'tnish; Total Ilmors: Sran: Sitc Arrival: x2= <br /> Mileage: Approved 1iy: <br />