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Geo' Analytical hbor�tor� Inc. Lab Report # <br /> Regulatory El Yes ❑ No <br /> 1405 Kansas Avenue Phone_: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> CHAIN <br /> Phone: ( Zo`t } s 3 z <br /> Client: S GRATIN �,f Fax: { za1) S TZ 3 Ya cr <br /> Adress: !I $ 1`�rnK�O w c CUSTODY To: C <br /> S�Crg C A- Zip ! S,312 <br /> Project ID E k C a a Lab Use Only <br /> Print Name) <br /> r ; <br /> Sampled By �T(.e l.v�t r r�- y� ` � <br /> (Print Name) Container o <br /> 0 MA <br /> Sample type 511 <br /> Sample TD a. <br /> Date Time Grab Comp Matrix Type Sixe Remarks y ; <br /> 7/171 r-F 01170 SW - -7— /y <br /> 7/1?r1e 1325 <br /> wag'" �y <br /> .Y i { AzId <br /> 99"W' ' <br /> .`i5 '- w <br /> L• <br /> W '. <br /> Remarks <br /> at Tune i e ) Tirne <br /> 1 <br /> Relinquished by(Signature) DReceDate 1/ <br /> um <br /> Rclinquished by(Signature) Date (tTiirne Received by(Signature) Date Ttme <br /> Preservative: 10-4°C20-HCl 03 -NaOH ®-Na.S.0, 0-HNO3 0-H,S Oq Q-Others 0-Others <br /> Site Time: Driving Time: Total Hours <br /> 5lart: Finish: <br /> Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />