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yGeoAnal tical Laboratories Inc. � �Al� <br /> Lab Report# <br /> Regulatory ❑ Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> AM <br /> � Phone: ( ) <br /> Client: A M L/f 64'y ��GoGicq� JG2o f;i S 1&1c. CIIAIN Or CUSTODY rax: ( ) <br /> Address: 1984�1 /L4o'le L"14 y To: <br /> City 5eN01'- zip s 3 --o <br /> Lab Use Only <br /> Project ID /"/�tJ�� s,z-VA <br /> (Print Name) <br /> Sampled By oSs G-'f""qLD 2 <br /> y <br /> (Signature) Container v <br /> Sample type o Lab ID# s <br /> Date Time �7p P �'' <br /> Sam le ID j <br /> Grab Comp Matrix 1 7 Type Size <br /> Mlgj 1511 >( 6105 t'`) n/j:/y �uNfIG ��M 1 Remarks lJ <br /> f SZD <br /> Remarks <br /> e <br /> Relinquished by(Signal / Dale "Minx I •c i e n: rine� i (y, � <br /> 34 1 TT <br /> �1 Relinquished by(Signature) Date "Time eceived by(Sign tire) Date Time <br /> Preservative: 1Q-4°C 0-HCI 30-NaOH 4Q-Na2S203 Q5 -HNO3 @-H 2S 4 7Q-Other ®-Other <br /> Site Time: I Driving Time: Total Hours <br /> Start: Finish: Total Hours. Stan: Site Arrival: x2= <br /> Mileage: Approved By: <br />