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17tes-.. <br />Client: • San Joaquin County Environmental Health Dept.. <br />Address: 606 East Main St. <br />City Stockton, CA Zip 95202 <br /> <br />12/L vt r-Z4:--a-/-725 //4 -7le7 <br />GeoAnalytical Laboratories, Inc.t <br />Phone: (209) 669 0100 <br />Fax: (209) 668 8516 Regulator: <br />Phone: ( 209 ) 669-0100 <br />CHAIN OF CUSTODY Fax: ( 209 ) 668-8516 <br />13 EDF °EDT Original To: lab geo@att net <br />0 FIELD LOGS C.0 To: <br />Project ID <br />V, <br />>, co Lab Use Only <br />Sampled By <br />(Print Name) <br />Willy Ng <br />Container <br />c <br />-a <br />'4 0 <br />_u <br />co o <br />65 <br />fn <br />.>) <br />> <br />(Signature) <br />Samp e type <br />Type Size <br />O z -c . a) <br />Lab ID # <br />I- 5) <br />',IC rt. Date Time Grab Comp Matrix <br />Sample ID <br />6/28/12 12:14 i i4WW- Tote Gi 4 oz 1 i -01 <br />-02 <br />-04 <br />..__ <br />, J <br />, <br />_ <br />Relinquished by (Signature) Dare (z. 5.-ri:m;‘, Rc‘c/ct:ed, )), (Signature)/ , a, Gate <br />6/119//2 <br />Time <br />Relinquis y Signature) le Time Received by (Signature) ale Tim, <br />.....Prezrvarive: Matrix 0 49COHCLIUNaOHU Na2520 ID-HNO3 0-H p 0 4 0-other CO Drinking Water 42) Waste Water CPI) Hazardous Waste (Water) 0 Soil/Solid <br />Pump Truck Bailers 55 Gallon Drums <br />, Time Mileage <br />i <br />8/13 Approved By: Th.rasersend Them EISImalarel CI SD Rush OGold wer Rust. OPlatheam Rush 0 Other <br />2300 Maryann Dr <br />Turlock, CA 95380 <br />Lab Report # Y2F2808 <br />Regulatory 1:1Yes 0 No CC: CIVes Cl No