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„'� Lab Report # <br /> .- _..., GeoAnalytical Laboratories, Inc. <br /> 1405 Kansas Avenue Phone (209) 572-0900 <br /> Modesto,CA 95351 FAX (209)572-0916 <br /> Phone: <br /> Client: 22 J CHAIN OF CUSTODY Fax: <br /> Address: To: <br /> Zip <br /> Project ID t39— G ��2 �• 4r-�h� Yi <br /> (Print Namer� <br /> P Y o = v <br /> Sampled B (Sig ure Container <br /> .r Lab ID # <br /> r <br /> Date Time at type Sample ID <br /> 0 <br /> Grab Comp Malnx Type SIZE Z <br /> r 3t <br /> St <br /> 7 r,. i <br /> + p <br /> r Pm <br /> r 2- <br /> U PwV <br /> 'Q? J� <br /> U <br /> / ?LA_ A <br /> M <br /> Remarks <br /> R inqu�r i t u r Date Time Re e hY ( Ig 11 a Tlme <br /> i ✓1” d � Q n 3r <br /> elinquished by (Signature) Date "Gime Recei ped by (Signa ure) Date Tm•z <br /> Relinquished by (Signature) Date Time Received At Laboratory by (Signature) Date Tnrrrz <br /> Site Time: Drivin �T' ne Total Hours <br /> Start: 1 Finish: 3 . �S�d')v Total Hours: /,/U Stan: b r'3� Site Arrival: x2= <br /> Mileage�/d 407, l �ntt �� Approved By <br />