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' GeoAnalytical Laboratories, Inc. Lab Report# � `1 <br /> Regulatory YIes ❑ No CC: KYes C3No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 nti«hC<< 5¢�e <br /> Re <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator. SAKI �t114QLtln/ �a e- <br /> -- Phone: Cry <br /> Client: 7—ho%ph s)l CHAIN OF CUSTODY Fax: (Z6y, ) <br /> Address: A]. Original To: Mere <br /> City ' C ' . Zip 45'zi/© Reporting: ❑ EDF EDT <br /> Project ID llrser > Lab Use Only <br /> —--- <br /> (Print Name) v -_. ...... <br /> Sampled By <br /> (Signature) 'y <br /> Container A <br /> Sample type <br /> Date Time Salhaple ID z Lt� Lab ID# oa <br /> _ Grab Comp Matrix Type Size <br /> 0.11-p Z;' �' X S 1' G ( )C Remarks' ffZ0Z TIT <br /> TK. j <br /> r Z lA2 741 Z'1 <br /> — I <br /> I <br /> Remarks <br /> nMinquimh.d by(Signature) Date Time Receiv gnat ) Date Timms <br /> Relinquished by(Signature) Date Time Receiv d by ' nature Date Time <br /> --- Preservative Matrix <br /> 0-40C Q-HCL Q-NaOH Q-Na,S,Oa 0-HNOa 0-11z S O, i4-Other Drinking Water (MWaste Water®Hazardous Waste(Water) ©Soil/Solid <br /> Snc Time: Time Mileage <br /> Driving Time: B <br /> Stan: Finish: Total Hours: Start: Site Arrival: x2=Total: <br /> 7Lmariawd Timcandard I]Silver Rush ❑Gold Rush OPlatinum Rush DOIheC Approved By: <br />