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• ., �.-..c•:•1 � - hal�,. a F.. 7�a,ii11W IOE.urt70n� .... <br /> • Lab Report# �J <br /> ftwo.- GeoAnalytical Laboratories, Inc. Z, <br /> Regulatory #Yes El No <br /> Moe�m1405 Kansas Avenue Phone: (209) 572-0900 �3o�y (1 - <br /> desto, CA 95351 Fax: (209) 572-0916 Regulator: n <br /> Phone: (,10"1) <br /> Client: Tw4RP�13 11— <br /> CHAIN Or CUSTODY Fax: (,,V ) 3G <br /> Address: 351 /V , To: <br /> City LOA 1, 1 a A Zip <br /> Project ID 3 E K Tat Lab'Use Only <br /> (Print Name) �~ u a <br /> Sampled By R/G U �ij 9) <br /> - (Signatur <br /> Container <br /> Sample type `Lab ID. <br /> Sample ID <br /> Date Time Crab Comp Matrix Type Size <br /> // ►.i :ao Q / Remarks ,'.,2.2...1,101 <br /> p .3-,b <br /> / 7-2-1 IQ <br /> q r _ t?t <br /> to <br /> t / 'ZZ <br /> /O •U a / ZZ1 <br /> /Ot- l 2Z <br /> S til`ld <br /> 14 <br /> D.'a e,(,est /�,�4- 1. 2zi ,z <br /> Remarks <br /> Relinquished by(Signature) Date Time Receive( by( 'g Lure) 4De <br /> Time <br /> Relinquished by(Signature) Date Time R ceive by(Signature) Time <br /> Preservative: 1Q-4°C (D-110 (@-NaOH @-Na2S203 Q5 -HNO3 ©-112S 04 7Q-Other ®-Other <br /> Site Tirne: Driving Time: Total Hours <br /> Start: Finish: Total flours: Start' Site Arrival: x4= r ` �•JT <br /> Mileaze: 7Z-_ -}>z —,r,J,,s: Approved By: lx4v� <br />