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_ r <br /> Report Lab Rep , <br /> GeoAnal tical Laboratories, gncr+ <br /> Regulatory# Yes ❑ No <br /> 1405 Kansas Avenue Phone (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax {209} 572-0916 <br /> M <br /> Phone: (��) s.2 7 <br /> j CHAIN OF CUSTODY Fax: (017 <br /> Clientj CaS <br /> To: h Sfr.� I <br /> Address <br /> City <br /> CA- zip 9535? <br /> W Lab Use Only } <br /> (� <br /> Wr y <br /> Project ID ;A7 <br /> (Print Name) <br /> Sampled ByV U ,Q Y <br /> (Signature) Container <br /> 0 <br /> Q' v`Lab ID# w <br /> Sample type <br /> Sample YD �e Size l.� <br /> Date Time Grab Comp Matrix <br /> Remarks + <br /> ! <br /> ! I <br /> S <br /> , y i <br /> Remarks <br /> w f <br /> 4-Dateel`( 1i, <br /> Relinquished by(Signature) Time <br /> Date Tithe ved by(Si ) ' - <br /> r <br /> ��7— 60 Date Time <br /> Date Time eceived by(St ature) <br /> Relinquished by(Signature) <br /> s <br /> Preservative 1Q-4°C &HCI @-NaOH ®-Na2SZ03 @-HNO3 &HzS 04 (D-Other <br /> ®-Other <br /> Total Hours <br /> DnvmgTime <br /> Site Time Start Site Amval x2- ` <br /> Start Fmsh Total Hours <br /> Mileage; 3 Wk roved By: 0 <br />