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1 ! . i +� !♦ <br /> GeoAnal tical Laborafries, Inc. Lab Report# Loa,&/ <br /> y Regulatory 13Yes EM CC: EMS EM <br /> 1405 Kansas Avenue Phone- (209)572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: a Pt �? <br /> Phone- Q07) <br /> Client °r r r ►., COa CHAIN OF CUSTODY Fax: 0Q 2. _ <br /> Address,;2 g �37 1 a n Amt. 0 EDF 13EDT Onginal To: <br /> City 11)2 d dP S fG , C/q Zip 13 FIELD LOGS C C To: <br /> Project ID Lab Use Only <br /> (Print Name) <br /> Sampled By S E <br /> (Signature) Container <br /> E <br /> Sample type Sample ID Lab # <br /> Date Time <br /> Grab Comp Mata Type size Remar <br /> v e / i I IMOD <br /> I <br /> Remarks <br /> Reltn uis d by Signaat�uurrrems))J'. <br /> Date <br /> I�Tlim / Received (Signature) DateTime <br /> /1I ~(J� 4 <br /> Relinquished by(Signature) Date Time 115Signature) D e Time <br /> Preservative Matrix <br /> 4) 40C©HCL©-NaOHo NazSZ03©-HNO3 O-H S 04 O-Other Drinking Water 0 Waste Water ® Hazardous Waste(Water) ©Soil/Solid <br /> Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums 0 - <br /> Approved By• <br /> lL,n OdTime []Standard ❑Silver Rush Cold Rush f3ilatinumRmh ❑Other <br />