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GeoAnalytical Laboratories, Inc. Lab Report#E 23 <br /> ��'• Regulatory EMS 0 No CC: EMS 13 No <br /> 2300 Maryann Dr Phone: (209)669 0100 <br /> Turlock, CA 95380 Fax: (209) 593 2212 Regulator: <br /> � � r Phone: ( ) <br /> Client: QV t Q � ua <br /> a t - � CHAIN OF CUSTODY Fax: ( ) <br /> Address J �.. 13 EDF 0 EDT Original To: <br /> City Zig 17 FIELD LOGS C.0 To: <br /> -Project ID <br /> (Print Name) r: �i Lab Use Only <br /> Sampled By a y� a °' <br /> (signature) o <br /> Container —1- > <br /> >~ <br /> Sample type Lab ID# <br /> Date Time Sample ID z J �] <br /> Grab Comp Matrix Type Size a. <br /> i a <br /> —OI <br /> F:H <br /> l� t 1 Ct ,� 1.jL r pp II f r� S <br /> 'nt. '��F.; Cc IC..l... in ' 6t�r+hP: �lL. i,J�3"� �._„ •' + u•:s.�i "� <br /> emp tZ C LAsEk #1 3-�a -�2naawnd, <br /> Relinquishe b (Sina[ ] <br /> Date Time Received by(Signature) Date Time <br /> Relinquished by ISggrwurc Date Time v d b IS <br /> Dale Tirrk <br /> Matrix0**HCL"Ma6we: <br /> NazS203©-HNO, 0-Hp 04 aOther Drinking Water Waste Water ® Hazardous Waste(Water)©SoiVSolid <br /> tlaLers 55 Gallon Drums. <br /> Pump Truck Time Mileage <br /> f3s...ftwd ❑su~R.a+ Or-s n.u, ❑Pr,e„e.R+rk pone._ Approved By:__ <br />