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GeoAnalytical La roratom <br /> ries, Inc. Lab Report# 0� t� <br /> Regulatory ❑ Yes ❑ No CC: ❑ Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> `, Phone: <br /> Client: \/,I R-,0A11"fd4-L ...ZPG CHAIN OF CUSTODY Fax: <br /> 7 ( ) <br /> Address: .�• .2-7 Original To: J L L Rp)C <br /> City 1 C4 Zip��!cQ r <br /> I- <br /> Project 1D 6CX&l 7— � �' �'V Lab Use Only <br /> (Print Name �� 41 <br /> Sampled By ] n� o y <br /> {signature) Container <br /> Sample type H� � N j Lab ID,# { <br /> z <br /> Date Time Sample ID <br /> Grab Comp Matrix 4 Type Size <br /> "- -4/ Z:0!6 (�l1 k� rn W *wefl Remarks�M p� <br /> )9 .' 1-7 M lAJ <br /> W -5 " 4 X o <br /> 1!: 3 y \'Z <br /> Z:ZZ l�IL L x a <br /> o.g <br /> Remarks <br /> Relinquished by.(Signature) Date Time R ��dy(Signature) Time <br /> 'k oco&S <br /> I L '— <br /> Relinquished by(Signature) Date Time Received by(Signature) Dae Time <br /> Preservative Mat'ri r <br /> Q-4°C 0-HCL Q-Na0H Q-NaAo, Q-HNO3 Q-Hz S O4 0-Other 49Drinking Water 4SWaste Water 4WHazardous Waste(Water) ©§*Solid <br /> Site Time: Driving Time: Time Mileage <br /> Start: Finish: Total Hours: Start_ Site Arrival: x2-Total: <br /> Turnaround Time OStandard ❑Silver Rush ❑Gold Rush ❑Platinum Rush DOLT. Approved By: <br />