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Ui -611Lab Report# <br /> GeoAnalytical Laboratories, Inc. , <br /> Regulatory DYes 13No CC: [3Yes [3No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209)572-0916 <br /> Phone: (2.og) 5:71-MEL <br /> client: CHAIN OF CUSTODY Fax: (zoq ) �-72- 8 V t q — <br /> Address: R. 6 13EDF 0 EDT Original To: 1 Yl k Ke. �lrberd n <br /> City rncdes& CA Zip 0 FIELD LOGS C.0 To: <br /> Project rn +� C-t cabal M -- Lab Use Only <br /> )4 2Q60-717cnZ4&� <br /> (Print Name) <br /> Sampled By <br /> (Signature) Container po <br /> Sample type z q` <br /> Date Time Sample ID Type size <br /> Grab Camp Maui Remarks <br /> -7 20 a T.60 M1 ' IA OMl X <br /> /( NO <br /> 7A A S p Ofo AVV 10'-fl 0) UlM 3 . : <br /> 05 '�'� U °� tslnn t '� X X <br /> a 1 K X R3 <br /> Al <br /> i <br /> EE <br /> Remarks { - <br /> Relin at ed by Signa re) Date Time Received by( ig re) at time <br /> .17 ZZ 65 IT. IS <br /> /! D to Time Received NY(5ignatur' Date Time <br /> Relinquished by(Signature) <br /> I <br /> Preservative: Matrix I <br /> Hazardous Waste(Water} ©SoiklSo[id <br /> O 4°C8HCL j&Na0HO NazS203 0-HNO3 O-H S 04 0-Mer Drinking Water®Waste Water � <br /> Pump Truck Time Mileage <br /> Tfailers �7 55 Callon Drums �� <br /> Approved By: <br />