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Lab Report# <br /> GeoAnalytical Laboratories, Inc. <br /> Regulatory 0 Yes 0 No CC: 13Yes [3 No <br /> 2300 Maryann Drive Phone: (209)669 -0100 <br /> Turlock, CA 95381 Fax: (209) 593 -2212 Regulator: <br /> Phone: (2c1 ) 22---1 -61 Z-1 Ci1?r"rJ0 C'�401(1c <br /> Client: Wirt MfA W,?,-{ two i CHAIN OF CUSTODY Fax: ( ) <br /> Address: 1S 3 R o Kc1i,nlP,t wG 13EDF 13 EDT Original To r o D lr`b�1 L ' ►45-I'DV✓\ <br /> City Zip 95330 0 FIELD LOGS C.0 To: Gy" *i" <br /> Project ID lot/ �. Lab Use Only <br /> (Print arse) ) <br /> Sampled By C' 2 °° Q. <br /> (Signature) U" <br /> Container c <br /> Sample type d y <br /> p <br /> Sam le ID z �' Lab ID# , <br /> Date Time Grab Comp Matrix Type Size Gr <br /> 3-I I- i0-14-* ✓ <br /> t ✓ _01 <br /> Temp-,52 z C LASER #1 <br /> Relinquished by(Signature) Date Time c i e by ig u Date Tire <br /> 1- Wo --?-I I-2 11 D <br /> Relinquished by(Signature) -/— Date Time Received by(S n ) Date Time <br /> Preservative: Matrix <br /> 0 40C0HU Na0H0 NazSz03 0-HNO3 0-H P 04 0-Other 4ODrinkingwater(a Waste Water ® Hazardous Waste(Water)©Soil/Solid <br /> SS Gallon Drums <br /> Pump Truck Time W lea e <br /> Bailers 1:1 <br /> �b <br /> fir---d ns- 0 S—d-d t]SU.er Rush Gdd Rush P1Admrm Rush 00ther Approved By: <br />