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Liu Report#— <br /> GeoAnalytical Laboratties Inc. <br /> Regulatory Yes ❑ No CC ❑ Yes ❑ No L <br /> ' a 1405 Kansas Avenue, Suite "A" Phone (209) 572-0900 4 . <br /> Modesto,CA 95351 Fax (209) 572-0916 Regulator: 1_ �evC44V <br /> Plione• (009 <br /> Client —' CHAIN OF CUSTODY rax. <br /> �p <br /> Address ������ Zip C Original To- <br /> City <br /> o• <br /> p- 155.7/ tiV <br /> Project ID -���1-c 7���Yti � � l!! X5� ._ <br /> j (Print Name) n Lal1 Use Only <br /> Sampled By U�c^ �r-'b& t� �cr 9 Al <br /> (Signature) � <br /> U0 <br /> ( l!, <br /> Container U �" r �x <br /> Sample type �( <br /> Date Time Sample ID z �� � 1, � ��' Lab ID# <br /> a <br /> Grab Comp MamxType Size <br /> 9 L/3 wit, L, I — I 4- / X ?C X Rertiarksl,4ll , <br /> ? Z?l ' Z -z- <br /> 8 o 3 It)t <br /> -ro ,., 01 <br /> f <br /> I <br /> NJ o <br /> I <br /> Remarks <br /> Relinquished by(Signature) Date Time <br /> R cei a by(Signature) Date Time <br /> Relinquished by(Signature) 1011, —Date Time ' �� <br /> If Received by(Signature) Date lime <br /> Preservanve <br /> Matrrx <br /> 0-4°C Q-HCl. Q-NaOH G-Na2S203 Q-HNO3 0-H2 S O4 p-otter ©Drinking Water Owaste Water 4WHazardous Waste (Water) ©Soil/Sofid <br /> site Time <br /> Start Finish Driving Time �Tje Mileage <br /> Total flours Start Site Arrival x2=rotal <br /> Turnaround Time�Mta.�da-rdCI�Sdv-eR.�sh ❑Goid Rush ❑Platinum Rush ❑Other <br /> Approved By <br />