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r <br /> Lau Report# <br /> GeoAnalyticai Lauorat At ies, Inc. <br /> Regulatory ❑ Yes ❑ No C: G Yes U No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 <br /> Modesto, CA 95351 Fax: (209) 572-0916 Regulator: -�- - <br /> -- Plioiie: (2 0 9) 977-8186 <br /> _ <br /> Client: —M J. Kloberdanz &—AssociatesCHAIN OF CUSTODY Fax: ( 209) 577-8159 4 <br /> Address: P.t].BOX 5769$1Original ------------- --- --..-. <br /> To: _ <br /> City Modesto , CA Zip 95357 Reporting: Eff ❑ ED'.t' —� <br /> Project ID Ripona Market Quarterly �l,ab trsc tlt3iy <br /> (Print Name) -. <br /> Sampled By c x-l- ; ,�° <br /> (Signature) o .� <br /> Container �T h� <br /> Dale Time Sample type Sample ID z° J, AQnG7 i.sall 1l) <br /> Grab Comp Matrix Type Size <br /> //-Z�0 <br /> �J 'Y J * <br /> X 1�c1 V..y% Mw <br /> T-1 V5Q 44 �C k Remarks <br /> PW IJ MW-3 A - . <br /> i <br /> 1 <br /> 111 Remarks <br />� � �Gt a ��r'•' , � jJi2 v� <br /> =Ile, ed by(Signature) bale Tillie Received by( t azure) faaE.c�-- - 'Clore <br /> Relinquished by(Signature} bate Time -- "" <br /> Receive by Sig attire) l).rtc 9'inie <br /> _..._ — _._...- <br /> Presen�ali ve ---.—.. <br /> �rrllrix <br /> Q-4°C ©-HGL ©-NaOH Q-NazSZ03 Q-HNO3 Q-Fez S OA Q-Other (ODrintting Water koWaste Water IWHazardous Waste (Warr) OSnillSofid <br /> Site Tinie: <br /> brivingTime: <br /> Finkh: Total flours: Start: Site Arrival: x2=Total: <br /> _ (0 <br /> 'ta't <br /> 'rurttaround Tinte ❑SEaarlard ❑Silver Rush OGold Rush ❑Platinum Rush ]]other: Anrnmed 11%'- <br /> — — <br />