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gy' ` I �Lab Report # �.J 1 F`3 <br /> GeoAnalytical (Laboratories, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> Client: �h�'-- 1, CHAIN OF CUSTODY Fax: <br /> Address: To: <br /> Zip <br /> Project ID V r'\tn eS+ Lt p&avi5 <br /> (Print Name <br /> Sampled By y� <br /> (signal re) Container <br /> Samplc type o Lab ID# <br /> Date Time Sample ID <br /> Grab Comp Matrix Type Si/.0 <br /> 095'7 <br /> L' 0IVIA o�Oy'1 <br /> d0 <br /> nn 0 <br /> •� O U <br /> 111'1,0 1 1 7 " y, J / <br /> ,6V <br /> 16 /UG <br /> j "6 Joh /c)G� ti <br /> /c)G-7 <br /> Remarks � \ U <br /> ouM,�y� <br /> R inqu y, "gnat to n �t r Timc J-tyyd by (Signature) J)atc Time <br /> nqutshe by (Sig D tc Time Received by(Signature) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> Site Timc: ".71 Driving Timc: Total Hour <br /> Start: 9, Q�17Z/.Finish: I� SQ Total Hours: ;71.,S art: ttcArrival: Q <br />