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Lab Report# +�.) <br /> GeoAnalytical LaboratrAes, Inc. <br /> Regulatory es ❑ No CCj�,&s .10 <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900 Regulator: .cJ <br /> Modesto,CA 95351 Fax: (209)572-0916 - <br /> Phone: ( ) <br /> Client: obe(Zd4moi z-t Aess s. CHAIN OF CUSTODY Fax: <br /> Address: Original To: <br /> City Zip Reporting: ❑ EDF ❑ EDT <br /> Project ID Lab Use Only <br /> (Prin am d E_._.........._..............__....... ....._.................. <br /> S <br /> Sampled By <br /> g ) y <br /> (Si HatarM <br /> Container V <br /> Sample type <br /> Date Time Sample ID z Lab ID# a <br /> Grab Comp Matrix `` .. Type Size <br /> 67 JVA�- X Remarks; 3 <br /> 3 X X ! Hwl <br /> V x K-� N 3 <br /> { <br /> Remarks <br /> Relinquished by(Signature) Date Time Rece'v by{Signature} ate Time <br /> 3 -oz Z <br /> Relinquished by(Signature) Date Time Received by(Signature) tl Date Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL Q-NaOH Q-Na2S20, Q-HNO3 0-H2 S 04 Q-0ther Drinking Water (►Waste Water Hazardous Waste(Water) ©Soil/Solid <br /> Site Time: Driving Time: l Time Mileage <br /> Stan © Finish: 0 Total Hours: j Start: Site Arrival: x2=Total: a <br /> Z� <br /> Turnaround Time ❑Standard ❑Silver Rush ❑Gold Rush ❑Platinum Rush ❑Other. Approved By: <br />