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CHAIN OF CUSTODY Lab Report # X I FCS Z 3 <br /> GeoAnalytical Laboratories, Inc <br /> ❑ EDF Global ID: <br /> 2300 Maryann Dr. Phone: (209)669-0100 <br /> Turlock,CA 95380 Email: lab.geo@att.net ❑ EDT System# <br /> Jim Thorpe, Inc. /j ❑ Field Logs E] Site Map <br /> v P.0 Box 357 Email Report to:_ (,ti av-�', �Inc�f P'L Contact Name <br /> U Lodi,CA 95241 CC Report to: ckLgCG1pi-} QPS�Ce.hCI,CL;M <br /> M (209)368-6175 Add'1 Information: Project Manager <br /> Project ID: `�• 1 Regulatory: j Lab Use Only <br /> Ll.�t <br /> Sampled By (Print Name) - ❑ Yes ❑ No J <br /> GF, r(0 ` ' I O Regulator Name: <br /> (Signature) <br /> > <br /> Sample Type Sampled ID Container V Lab <br /> CL <br /> Date Time Zt' ID# a <br /> Grab Comp Matrix Type Site No. � '�/ <br /> � tiC' �� I�'CV ✓ V <br /> s,;/ f 113-t��c —G <br /> �� ✓ , C sI eye 2-�7fvhe U,C� 1_ ✓ ✓ (/ ✓ ✓ --C <br /> Remarks <br /> Relinquiy y Signature Date Time Rece've By(Signature) Date Time <br /> `l GL— �� <br /> Relinquished 8v(Signature) Date Time Received By(Signature) Date Time <br /> c=am <br /> Preservatives <br /> yl DW -Drinking Water HWW-Hazardous Waste Water <br /> O 4° © HCL © NaOH 0 Na2S203 © IIN02 O H21_,04 0 Other R <br /> i WW-Waste Water S-Soil/Solid A-Air o-oil <br /> Pum Truck Time Mileage C <br /> Bailers 55 Gallon Drums ❑ P3.0 <br /> Tumaround Time ❑Standard ❑ Silver Rush ❑Gold Rush ❑ Platinum Rush Approved By: <br />