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-.• GeoAnal tical Laboratories Inc. Lab Report# �ZS 1 1-7� Regulatory Yes ©No <br /> 1405 Kansas Avenue a Phone: (209) 572-0900 <br /> Modesto,CA 95351 Fax: (209) 572-0916 Regulator: <br /> Phone: (2-e- } <br /> Client: a- -� CHAIN OF CUSTODY Fax: (q ) <br /> Address:l��- C To: <br /> City Zip <br /> Project ID Lab Use Only <br /> ftt Nam } <br /> Sampled By Y u -`" Y <br /> (Signal c Container o �� L <br /> Sample ty �t Lab ID# <br /> Date TimeSample ID G a <br /> Grab Comp Matrix Type Size <br /> (f47 � Remarks L}�p <br /> r _ <br /> Lot- <br /> Hyl <br /> v a X <br /> Remarks <br /> Re' uis d b (S natu Date "runt Received by(Sign ) Date Tune <br /> -N -�rY <br /> Relinquished by(Stgn ure) Date Time Received y(Sig ) Date Time <br /> Preservative: 0-4°C Q-HCI (5)-NaOH ®-Na2S203 QQ -HNO3 ©-H2S 04 Q-Other ®-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Stan: Site Arrival: x2= <br /> Mileage: Approved By: <br />