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�. .. GeoAnaly tical Laboratories, Inc. Lab Report # Z30-,5- D� <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> Client: �� CHAIN OF CUSTODY Fax: <br /> Address: To: <br /> Zip <br /> Project ID 39— (j 12 <br /> (Print Name <br /> U / c •w <br /> Sampled By (Sig ore Container Coco <br /> Date Time Sa type `p <br /> ' Lab ID# <br /> Sample ID a <br /> Grab Comp Matrix Type $IZC Z <br /> v o l 'T -! t 31 ! !j <br /> s ' <br /> + <br /> /✓" 1 <br /> r PM <br /> .V <br /> U P <br /> u7 P <br /> VVAd <br /> P 44- A <br /> 1 1' <br /> Remarks A (� <br /> R inq�h i tur 6 Date Time Re e by ( ig a Time <br /> —Relinquished by (Signature) Dae Time Rece' ed by (Signa ure) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> Site Time: . I��� J Driving Ti e Totul Hours <br /> Stan: Finish: le)/ G r" Total Hours: �� Start: � v Site Arrival: x2= <br /> Mileage /Q X 2 (ice/ /�tt ��� Approved By_ <br />