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CHAIN OF CUSTODY Client: Wei t Ekt4irpsttlitii) Fax: <br />To: <br />Address: <br />Phone: (209) 572-0900 <br />Fax: (209) 572-0916 <br />1405 Kansas Avenue <br />Modesto, CA 95351 <br />GeoAnalytical Laboratories, Inc. Lab Report 0 <br />Regulatory Ll Yes No <br />Regulator: <br />Phone: ( <br />Zi p 1-117 <br />Pro ect 1D—PD5D-CV 1--- No. Or Containers I ..,, • - .. Lab Use Only 1 Preservative (Print Name) <br />To /1 1 '•.It'''' <br />- : <br />Sampled By (Signature) 1......eit .1\4 <br />A"".--'),r-- Container ''''r ''')4/1 <br />• V td ick , . 4 <br />Sample type Sarnple II) Type Sire e Lab ID 1 <br />Date Time Grab Comp lament . ., so., :),s. .), 1 I . • A ,a A <br />ilii6,(9- ,P — r13O 1/ C°1 1 S LI - 1 lk $I, ($L X X '1'19, <br />Remarks t..4 11 T_ <br />Rel (SVitle) <br />'9 1 9 t) e <br />Tune <br />154 ° <br />Received by {Signal in) <br />at 34.,11 akAkils— <br />Dale <br />qqaoei <br />Tint <br />3.3cy, <br />-6 f -.)L------- Dc Tome Received by (Sir/lame) Time <br />Reletwithed by (Signature) <br />0-HCI )-NaOH ®-Na 2S203 ®-HNO3 @-I-12S 0. 0-Other )-Other Preservative: 131-4°C <br />ttle Tune: <br />Coniving Time: Taal Roan <br />sawn. Amish: Total rimer Starr &le krrivcd: 12. <br />Approved By: GEOANALYTICAL