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i • <br /> f GeoAnalyfical Laboraftries, Inc. Lab Report# <br /> Regulatory Dyes ONo CC Dyes tNo <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto, CA 95351 Fax- (209)572-0916 Regulator: <br /> Phone: { } �16-l G�2 93 <br /> Client (5Zeo y, CHAIN OF CUSTODY Fax: ( ) 5�f t3�2 l�- <br /> Address 7 3 7 4,4't e — a ti Ode- x`132 z/O ©EDF 0 EDT Original To: a V/,{*S <br /> City Zip 9 S'3 53� 13 FIELD LOGS C.0 To: <br /> Project ID Lab Use Only <br /> Ak <br /> (Print Nam& <br /> Sampled B7 e� 1-, 14k �" <br /> Sam _ i <br /> p y (Signature) Container U �7 <br /> P type z Lab ID 0 <br /> Sam le e <br /> Date Time Sample ID Type Size Q' <br /> Grab Comp Matn Remarks <br /> r <br /> r, <br /> 11410 <br /> v 1 <br /> Remarks <br /> Rehnqutshe y(Signat re) DateTime Received))y(Signatu Date Time <br /> - <br /> �/ a3 / y U 1e//_`Jj� <br /> Relmgmshed by(Signature) ate Time Received by(Stgnatur ) to Time <br /> Preservative Matnx <br /> O 4°CO HCLONaOHO Na2S2O3 0-HNO3 O - <br /> -H S 04 0 cher 0 Drinking Water 0 Waste Water Hazardous Waste(Water)©SotllSohd <br /> PumpI)ruck Time Mileage <br /> Baders 55 Gallon Drums 0 <br /> Approved By <br /> 'fYrrnarnuud-nnw ❑Standard ❑Srtrer Rush Gold Rush Platinum Rush Other <br />