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Lab Report# V <br /> -� GeoAnalytical Laboratories, Inc. <br /> Regulatory es ❑No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: (Vl) _ <br /> Client: azF491—, , 41a1>1j fCHAIN OF CUSTODY Fax: -5-91 <br /> Address: 02 •�q /v &J, /'1"' � � <br /> To: 1 � { <br /> City. Zip ' <br /> Project ID �Z.!�,dAJ a)�PVC4& [.Cl (r[� Lab Use Only <br /> (Print Name) lip > <br /> Sampled By <br /> cc <br /> (Signature) Container w �- > <br /> a v <br /> Sample e a �/ Lab ID#., <br /> P YP <br /> Date Time Grab Comp Matrix Sample ID Type 11 Size ¢ <br /> 3 , I I I I I Remarks <br /> on <br /> Remarks <br /> 7-6 1"1pwo-k — /X. 3 <br /> Relinquished by(Signature) Date Time e• ' b (Sig t re) ate rTitne <br /> J <br /> Relinquished by(Signature) Date Time itcceived by(. nature) I Date Time <br /> Preservative: ®-4°C 0-HCl ®-NaOH ®-Na2S203 QQ -HNO3 ®-H2 04 0-Other ®-Other <br /> Site Time- 0 B r Driving Time: rn� Total Hoprs <br /> Start: 10 Finish: 1. Total Hours: 2 Stan: Site Arrival: <br />`` Mileage: 2 % Approved By: <br />