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Lab Report# Z <br /> GE,O1 nalytical Laboratories, Inc. Regulatory f",es 0 N <br /> 1. . <br /> 1405 Kansas Avenue Phone: (209) 572-0904 y,i,y <br /> Regulator: 1 <br /> Modesio,CA 95351 lax: (249) 572-0916 i r <br /> Phone: { ) <br /> .,,q,)Lj L CIIAiN Or CUSTODY rax: { ) <br /> Aci�lress: 1 To: �C' <br /> I <br /> City /Zr¢ zip <br /> i•. <br /> ,� <br /> Lab Use Only <br /> Proiccl 117 A-ttij .�►-� <br /> (PI ill[NartlC) ! �_ 4 6 A C "ezr <br /> Sampled By o ca <br /> (Signature) Container <br /> Lab ID# <br /> Silllil)1C IYl)e L <br /> Sample 11) Gn � � <br /> 1)il1C torte (;lab ('011111Ivialrix �I�YPc Size ' <br /> s: <br /> Remarks + <br /> Z,(- <br /> =S <br /> .2 S `2 <br /> 3'Dc) <br /> - Iv3 <br /> _ yLr Sir i is <br /> C '. r ; <br /> 7 t . <br /> II <br /> S <br /> 1+ <br /> t I <br /> kcliuyuialled 1 -�v-2 (1�Y/l_ ({ Dale <br /> (Sit, <br /> Reccivcdbg arc) <br /> Uy lSignaullcl C (,A95 `Dale- 1T,iiuuw <br /> Dac Time ite civet 3y(Sigyrmure) xcl-ri 1 Ltt <br /> RdimpiShCd by(SLgIELIulc) <br /> Preservative: 1Q-4"C VICI 3O-NaOH ®-Na,S2O1 -HNO3 ©-HrS O, -Other ®-Other . <br /> ) , <br />� �,,✓ Tul-al Hours ` <br /> 511c <br /> y/� Drivil3gTiuk:: J <br /> Stall: Site Arriv�aZl; <br /> /U z <br /> x2= <br /> Stall: •uta!Hours: <br /> -� <br /> 11Iili:ll;1 : }i9 Z = �- -- Alill. Id By: <br />