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GeaAnalytica! Laboratories, Inc. Lab Report# <br /> RegulatoryYes No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator; S or� <br /> Modesto,CA 95351 Pax: (209)572-0916 <br /> Phone: ( } c <br /> Client: CHAIN OF CUSTODY Fax: ( ) <br /> Address:. To: <br /> City7VW&&d Zip <br /> Project ID Lab Use Only <br /> ( int Nama) <br /> Sampled By Azois 1)0 �•� <br /> (Signature) V <br /> Container <br /> Sample type `� 3 <br /> a <br /> Dale. Time Sample ID N Lab ID# <br /> Grob Camp matrix Type Slrx. <br /> It-1 tI ctt # <br /> r Remarks <br /> kaWt <br /> rh. <br /> t7- <br /> N <br /> .O <br /> • OC <br /> W <br /> Remarks 3 <br /> Relinquished by(Signauxe) Rate,—,— I)tna R41! (Signature) We Time <br /> Relinquished by(Signature) Date Tune R-cived by(Signature) Pate Time <br /> Preservative; Q-4°C 12-HCl O-Na.OH ®-.Na2S203 QQ -HNOa 0+2SO4 <br /> O-Other —@-Other <br /> -d <br /> Site Time; Driving Time: Total Hours N <br /> Stan: Finish: Tota(Houma; Simi: Site Arrival: a2- <br /> 'AAA A <br /> Mileage: Approved By: <br /> i <br />