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1 <br /> FV <br /> GeoAnalytical Laboratories, Inc. Lab Report# <br /> Regulatory EMS E3No CC: EMS E3 No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209)572-0916 <br /> Phone: <br /> Client: Tluvye 01 CHAIN OF CUSTODY Fax: <br /> Address: E3 EDF 13EDT Original To: <br /> City Zip E3 FIELD LOGS C.0 To: <br /> Project ID 83 S fJ- Cepi.)j-ci I12 '� Lab Use Only <br /> / . <br /> (Print Name) Cc <br /> Sampled By Z <br /> 0 <br /> (Signature) Container (5 <br /> Sample type Lab JD# <br /> Sample ID Z Q, <br /> Date Time Grab Camp Match Fsi. Rernarlu <br /> Is 4 017, 12 11 —10 N, MLZ� <br /> P,ho *.2, -0Z <br /> 4m-bp <br /> Remarks <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> -2ow7 <br /> Relinquished by(Signature) Date Time I Received by(Signature) Date Time <br /> 4) <br /> Pre <br /> er"ative <br /> matrix <br /> S,O,0-HN0, 0-H 10-Other——————_Drinking 40 Drinking Water(0 Waste Water (w Hazardous Waste(Water) eSoll/Solid <br /> Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums 13 <br /> Approved By: <br /> Turnamund`nnie EISMMard []SflvttRmh [3GOldRush []MatfnumRush C10ther J!6'y�— <br /> V <br />