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I <br /> I.a1) Report 1t ' 0 ti <br /> GeoAnalytical Laboratories, Inc. � ,�,; ��✓ ,� <br /> Regulatory Yes ❑ No <br /> Regulator: -5-4,'V.1405 Kansas Avenue Phone: (209) 572-0900 A <br /> Modesto,CA 95351 Fax: (209) 572-0916 -5-4,'V J6�r��G/iV <br /> Phone: (cif r) _ E7 7 - <br /> Client: Yyl -T, jC o-A.f z_ c� <br /> Cr-1AIN Or CUSTODY Fax: { ) s2� ^` - <br /> Address: / To: <br /> City zip <br /> Project ID ellfm�c) —'Az 1d-; 0 L1,41vo ax-S J�c� Lab Use Only <br /> (Print Name)Grah Comp Matrix Gj� <br /> Sampled By rCh <br /> H,y <br /> (Signalurc) =c Container <br /> t' Yn vvi <br /> SaIe type <br /> o �( Lai?ID#t �, <br /> m <br /> Date Time Sample Ill L <br /> ix TYpe Size <br /> 7-7- �. �"7 Remarks3 <br /> �-ZSm -121 4' " 1 C1 L{ <br /> { <br /> Reinark\ <br /> T r, — 60aJ <br /> Relinquished by(signature) 7 Da[ l inir f ec b ul u r Date y Time <br /> lWinquishud by tsign:nurey / lime Time <ereitied by(Signaw I)atr Tink <br /> Preservative: 1Q-4°C d-HCI (@-NaOH ®-Na2S203 OQ -HNO3 ®-H2SO, @-Other _@-Other <br /> Site Time: `�� �N� // [ Driving Time: �a 3 a _ �'//giy�Tout Hours <br /> St;ut: Finish. /! Tatal flours: 1 / ti[nr1' 7 Site Arrival: x2= 1 �{ <br /> Mileage: 2 � 70 Approved By: <br /> - - - •JMwtiOiYwSM..xRNw+�PMW�R>`MJefiirx YN..Vk.l... r�5-„ ..- 1� �. .'i`s':.���+1�'SY a1V s-+i.l <br />