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GeoAnalytical Laboratories, Inc. Lab Report# TQ15 -02 #� <br /> Regulatory Dyes L7 No CC: DYes ©No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto, CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: (209577--8186 <br /> Client: M.J. Kloberdanz & Associates CHAIN OF CUSTODY Fax: (209 )577-8158 <br /> Address: P.O. Box 576981 ®EDF 13EDT Original To: <br /> City Modesto, CA Zip 95357 ® FIELD LOGS C.0 To: <br /> Project ID McDowell & Davis Quarterly Lab Use Only <br /> (Print Name) <br /> Sampled By Zeu <br /> (Signature) <br /> Container �Q' <br /> Sample type <br /> am le ID <br /> Date Time Grab Comp Matri, p Type Size z F <br /> _ Remar <br /> WW MW-2 ,4, 5 X X X <br /> /©_•�� x ww Mw-3 5 INA2�to <br /> X WW Mw-1 5 <br /> Trip Blank <br /> r5 <br /> 3 <br /> `ry is <br /> Remarks <br /> Relinquished by(Signature) Date Time 4Reeiv <br /> by(Signature) Date time <br /> -s oz, 03 t 1 zt <br /> Relinquished by(Signature) Date Time by(Signature) Date Time <br /> Preservative: Matrix <br /> O4°C0HCL6Na0H0 Na2S203©-HN0, O-H 04 00ther Drinking Water®Waste Water (D Hazardous Waste(Water) ©Soil/Solid <br /> 3 1 Pump Truck T e Mileage <br /> Bailers 55 Gallon Drums ® day pum 32 . 5 <br /> Approved By: <br /> r.,..,..M,,,i-�,,,- Cia,,n..a flca...u..n flr",anRn.n f`lraanm,mx„ch rinm•� <br />