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Lab Report # <br /> GeoAnalytical Laboratories, Inc. <br /> 2300 Maryann Dr. Turlock, CA 95380 Regulatory ('a Yes 13No CC: 13Yes [3No <br /> PH (209) 669-0100 Regulator: <br /> Phone: <br /> Client: — �� C:, \ lZ�,` r ;\ �� CHAIN OF CUSTODY Fax: ( ) <br /> Address: 19EDF 13EDT Original To: �. <br /> •�.,` 1, ti �.x �� �,. <br /> City S "\"A Zip X15"L\S I;�,"; <br /> 0 FIELD LOGS GC To: <br /> Project ID r,\\e- CN��� Lab Use Only <br /> (Print Name) is <br /> Sampled By �. �• L� D 'v_� t�t� 4 > <br /> (Signature) o <br /> Container w ,, J <br /> Sample type J (J J <br /> Sample ID z Lab ID# <br /> Date Time Grab Comp Matnx P Type Size <br /> eMP-11-:._ SER #1 <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Relinquished by(Signature) Date Time R l u Date Time <br /> Z —S I I SSD <br /> $ e. Matrix <br /> 0 '4K)OHC�� S203© HNO3 O-H�S 04 Other Drinking Water aste Water ® Hazardous Waste(Water)©Soil/Solid <br /> Bailers 55 Gallon Drums Pump Truck Time Mileage <br /> Approved By: <br /> 7Lrmro.�d 7Lae Sliver RuW Gold Rush Platlnwn Ruth other <br />