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�-- - GeoAnalvtical Laboratol ies. Inc. Lab Report <br /> Revelatory r'es :1 No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto. CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: ( ! 77— !t9 <br /> Client: .� D��A-�V'�i�i (J�>i��." C.21'c�r' CHAIN 0f Fax: __7 <br /> Adress: //ZO �- CUSTODY To: <br /> L <br /> zip <br /> Project ID �` Lab Use Only <br /> (Print Name) = V <br /> Sampled By ✓f, `2(��'� ��' <br /> (Print Name) r Container = <br /> 7 > I : <br /> Sample type <br /> Sample ID Z <br /> Grab Comp Matrix Type Sixe .r, <br /> Date Time Remark <br /> 17- <br /> - V s� rn <br /> I <br /> i I I I <br /> Remarks �� 7�7 a r- " Z <br /> 7t W42�64 <br /> Reimq Signature) Date Time Re c"ivfd by(SianattuE)- � Date Time <br /> �;" ( f <br /> Reiinqutshe v Signature) Date Time Recetvedbyi(Sig=ure) Date Time <br /> Preservative: 1Q-4°C ©-HCI (5-NaOH &Na2S20, 5&HNO, ©-H,S 0, 7Q-Others ®-Others <br /> Site Time: / Driving Time: Total Hours <br /> Staff: IS / Finish: f Z� Total Hours: �-/ Start: Site Arrival: x�= <br /> Mileage: 1y l` Z y�o /lam�"-�S Approved By: <br />