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GeoAnalytical Laboratories , Inc . Lab Report # 3e <br /> --ter Regulatory ElYes E3No CC : OYes E3No <br /> 2300 Maryann Dr Phone: (209) 669 0100 <br /> Turlock, CA 95380 Fax : (209) 668 8516 Regulator: <br /> Phone: ( 209 ) 368-6175 <br /> Client: Jim Thorpe Inc CHAIN OF CUSTODY Fax: ( 209 ) <br /> Address : PO Box 357 13EDF MEDT Original To: Marty Thorpe marty ®jimthorpeil-corn <br /> City Lodi , CA Zip 95241 0 FIELD LOGS C.0 To : <br /> Project ID <br /> ( a Lab Use Only <br /> Print Name) <br /> Sampled By < na = > <br /> (Signature ° <br /> Container <br /> Sample type <br /> Date Time Gan comp matrixSample ID type see z Lab ID # w` <br /> z - 10 ! ' S5 TI< a0o11. <br /> L ' o2 T - `'15uo l T I <br /> a ' Ir K - ' goo vJ <br /> a i t - looc E a *- <br /> T 3000 w c a ' <br /> D <br /> Relinquished by (Signmure ) Dale Time <br /> Received (Signazurc - Date Time <br /> / 444 <br /> Relinquished by (Signazurc) �e Dare Time Recefved by (Signawm) , Uaie Ti rek• <br /> O0C � _,/�ry Matrix <br /> 4 "GV HCL ""V SzOz © -FINO3 O 'FI 3S O4 O-Otherr� Drinking Water ® Waste Water ® Hazardous Waste (Water) © SoiVSolid <br /> Bailers 55 Galton Drums PUMP Nuck w <br /> Mileage <br /> b <br /> n.wr� »_ ❑ su.r.a171sVRm 171caeR.m 171M.uMMRen Qcu.r Approved By : <br />