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eoAnal tical Laboratories Inc. Lab Report# �� G <br /> y � Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900a� c�� <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: ( 7o 7 ) �1 y(G ` 7 7 9(+ <br /> Client: C A I - //UC. CHAIN OF CUSTODY Fax: ( -70 7 ) <br /> Address: e-040 f tr130,0y 20 5u,;4,tf' e;KQo To: <br /> City Zip 95657 <br /> Project ID S1119RPS Fs5f- Lab Use Only <br /> (Print Name) = oj~� <br /> Sampled By �IG��ARD cHev�rl u <br /> (Signature) Container �. > <br /> Sample type Lab ID# W <br /> Date Time Sample ID p,, <br /> Grab Comp Matrix Type Size <br /> Z S 9 Remarks <br /> /O .Y3 5 PG - y <br /> 00 SPG -L <br /> oqV eoww� <br /> c- - - <br /> Remarks <br /> Relinquished by(Signature) Date Time ec ived bk(S' n,44 Date . Time <br /> 2/ffj 9 9 iza o i-�-�� 1- io <br /> Relinquished by(Signature) Date Time eceived by(Sig ure) Date Time <br /> Preservative: 1Q-4°C 2&HCI3Q-NaOH &Na2S203 5&HNO3 ©- d S 04 7Q-Other &Other <br /> Site Time: Driving Time: Total Hours <br /> Start; <br /> Start: Finish: Total Hours: Site Arrival: x2= <br /> Mileage: . el(o -n;leS TnT/'/L Approved By: <br />