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• Lab Report# <br /> GeoAnal tical Laboratf�e Inc. <br /> y s, <br /> Regulatory L3 Yes O No CC: ❑ Yes ❑ No <br /> 1405 Kansas Avenue,State"A" Phone (209)572-0900 <br /> Modesto,CA 95351 Fax (209)572-0916 Regulator: <br /> Phone: <br /> Client �4 ® �t'/S� -Yf(/� � , <br /> CHAIN OF CUSTODY Fax; ( } 5�l Y-'-,> <br /> Address Original To: C`Pci Ae,i <br /> City rV Zip �!S .3 <br /> Prosect ID f`o �, S �ra C Lab Use Only <br /> (Pant Name) <br /> Sampled By 57&le <br /> (Signature) AContainer c 7r�' <br /> P YPe Lab ID# <br /> Sam le t o <br /> Date Time Grab Com Sample ID Matnx TypeSize <br /> X qr 57c,-C P J - / 7— x X Remarks' <br /> 1171Y' lzl� <br /> I <br /> I � <br /> I <br /> s <br /> i � Y <br /> i <br /> Remarks <br /> Relinquished b reyj' �D a Time eived by(Signature) Date Time <br /> A z ZWe) !z 55 <br /> Relinquished by(Signature) Date Time Received by(Signature) Date rime <br /> Preservative Matrix <br /> 0.4°C 19-HCL Q-Na0H Q-Na2S203 0-HNO3 19-H2 S 0, Q-other eDrinking Water SWaste Water®Hazardous Waste(Water) ©So1VSolld <br /> Site Time Driving Time Time Mileage <br /> start Finish Total Hours Start Sitc Arrival a2=Total <br /> Turnaround Time OStandard OSilver Rush OGold Rush ❑Platinum Rush Opther Approved$y <br />