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GeoAnal tical Laboralpries Inc. Lab Report# <br /> y Regulatory ❑ Yes ❑ No CC ,¢ Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone (209)572-0900 � <br /> L <br /> Modesto,CA 95351 Fax (209) 572-0916 T <br /> A Y^, rno� Phone: (Zo4) '571- zZ Z 1 <br /> Client CHAIN OF CUSTODY Fax: { z } 5Z-t- ZZ25 <br /> Address v Original To: -T—, <br /> City Ztp - r�r� Assaf <br /> Project ID c« s' ,� - Vy <br /> 2 Sc p Lab Use Only <br /> (Print Name) I <br /> Sampled By J <br /> - (Signature) UT <br /> Container 1> <br /> Container <br /> Sample type <br /> Sample ID z , q Lab ID# <br /> Date Time Grab Comp Matnx 'hype Size 4( r <br /> /Q26-00 � rn C \1e9,4 X Remarks, K, <br /> C� 7C <br /> c / <br /> p <br /> f <br /> r <br /> I <br /> f <br /> Remarks Sa.,r.ti p 1 e s �+ .�. �-r<<Lg O r+--s -` <br /> Relinquished by(Signatu Date Time Received by(St ure) Date Time <br /> IG- /y 3czs-� �U-w C� o q-ck� <br /> Relinquished by(Signature Date Time R wed by(Si natu e) Date Time <br /> ri-z� l.r-5o � roto-0 W)o <br /> Preservahve Matrix <br /> 0-4°C Q-HCL Q-NaOH Q-Na2S203 Q-HNO3 @-H2 SO, O-Other ©Drinking Water ®Waste Water®Hazardous Waste (Water) ©Soli/Solid <br /> Site Time Driving Time Time Mileage <br /> Start Finish Tota[Hours Stan Site Arrival x2--Total <br /> Turnaround Time ❑Standard ❑Silver Rush ❑Gold Rush ❑Platinum Rush ❑Other Approved By <br />