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GeoAnal tical Laborfories Inc. Lab Report# L36 <br /> Y � <br /> Regulatory ❑ Yes ❑ No CC: ❑ Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209)572-0916 <br /> Phone: (2 ) C6zf — t <br /> Client: F .-.CtilC- CHAIN OF CUSTODY Fax: ( ) <br /> r <br /> Address: 0 Dx t,/.7 7 Original To: —�I�-L ryK <br /> City OAK, <br /> Project IDFri- , v� <br /> q Lab Use Only <br /> --.... -- <br /> (Print Nam -- <br /> Sampled Byt 9 p ,�, M o <br /> (Signature) Container wQ' �o ok 'V`� n/ <br /> Sample type <br /> Date Time Sample ID z �`] e? - ,� Lab ID# <br /> Grab Comp Matrix I Type Size (A <br /> Mw - we-- _. AX ),c X Ix I Remarks iL�}Zrg79 1 <br /> !O'© 3 <br /> c1: ' Y4 Z .. <br /> 3s <br /> Ow e 67 v6/; x <br /> 700 G g <br /> Remarks <br /> RelhiquisheI by.(Signat Date Time Received by(Signature Date Time <br /> �r-)w <br /> 3Relinquished by(Signature) Date Tine Received by(Signature) Time <br /> Preservative Alatrix <br /> Q-4°C 10-HCL ©-NaOH 10-Na2S203 0-HNO3 Q-H2 S 04 ()-Other Drinking Water kaWaste Water(WHazardous Waste(Water) ©SoillSolid <br /> Site Time: Driving Iinie: Time Mileage <br /> Stan: Finish: Total Hours: Start: Site Arrival; x2=Total: <br /> Turnaround Time ❑Standard ❑Silver Rush ❑Gold Rush ©Platinuin Riish ❑Other: <br />