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r <br /> • Lab Report# 2 - ro <br /> GeoAnalytical Laboratories, Inc. I <br /> Regulatory Yes Q No CC: Yes LlNo <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 ll a <br /> Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> 2 <br /> Phone: (�) <br /> Client: /�— CHAIN OF CUSTODY Fax: ( ) <br /> Address !?n <br /> R,Q r��1�/yl/Fnl leGQ Original To: �/ <br /> City Z'0'e Zip— 2571i/rO <br /> Project ID S — e 1Si Lab Use Only <br /> (Print Name) 1+ ..... <br /> Sampled By (Signature) Container <br /> Sample type Z Lab I1)# <br /> Date Time Sample ID . p Sf P, <br /> Grab Comp Matrix <br /> z <br /> u <br /> H <br /> O <br /> Remarks <br /> m <br /> m <br /> Relinquished by(Signature) Date Time Received (gn ate Tim <br /> 'i i',G . 'S db n <br /> Relinquished by(Signature) Date Time Rece d by Signature Da Time m <br /> m <br /> x <br /> Preservative Matrix <br /> 1 .5 <br /> 0-40C ® HCL ®-NaOH Q-Na2S203 Q-HNO3 Q-HZ S 0, ® OtherDrinking Water ®Waste Water®Hazardous Waste(Water) ©SoiVSolid w <br /> r <br /> Site Time: Driving Time: Time Mileage i <br /> Start: Finish: Total Hours: Start: Site Arrival: x2--Total: jZ <br /> a <br /> Turnaround Time [Standard [Silver Rush [Gold Rush [Platinum Rush [Other: Approved By: <br />