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-�� GeoAnalytzcal Laboratories, Inc. Lab Report <br /> Regulatory V.Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 r <br /> Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: ( ) <br /> Client: � .r a`7n C CHAIN OF CUSTODY rax: { ) <br /> Address: �� �22 To: <br /> x.D <br /> City CA zip <br /> Project ID F•p �? e,r t — /yj�v�/rc•� C/2 r(� Lab. Use Only <br /> (Print Name) <br /> Sampled By ti y <br /> (Signature) Lontaillel' O <br /> Sample type V 0 t Lab Ill N V <br /> Date Time Sample ID I. 1e slLe a+ <br /> Gratr comp Matrix yl <br /> A W �L. Z Remarks <br /> �Y z <br />! Itcnrtrks <br /> RelinrluisheJ by(Signature) Date Tiuw I c v to ut Dale Mink <br /> Rdirnluished by(Signaluic) Date Time Acceived by(Sig ute) Date Time <br /> Preservative: C)-4°C ( -HCl Q-NaOH ®-Na2S203 Q5 -1-INO3 0-H2S 047Q-Other @-Other <br /> Site Time: Driving Time; Taal I lours <br /> Start: finish. Total flours: Slaw Site Arrival: x2= <br /> Mileage: Approver! Ry: <br />