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GeoAnal tical La Lau Report # <br /> y boratorles, Inc. <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> CIient: d2 CHAIN OF CUSTODY Pax: <br /> Address: To: <br /> Zip_ _fat o r . <br /> Project II) -PA r �j7 / -per f <br /> (Ikint Name) <br /> SampledBy 'y <br /> i (Signature) <br /> Container <br /> w Lab Ill# <br /> Sample type o <br /> Date Time Sample 11) I`ype Size � <br /> Grab Cutup Matrix <br /> ZTK - t p <br /> +R <br /> Z..r K- > O <br /> l; /tC Z ) Iv,, X <br /> �r <br /> Remarksdr <br /> , <br /> �:iature Date Time I ecc by 'i, rture)S f C'f qT'! Z' Dale Time <br /> Relinquished by (Signature) Date Time Rec n1d by (Signature) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Dare Time <br /> SiteTime: ��� Driving Time: 1'otal Hours <br /> Start: ; finish: f�N Total Hours: /�j�/2sStart: .'� Site Arrival: x2=� <br /> Mileage �Z /SLG S Approved fly <br />