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--- GeoAnalytical Laboratorls, Inc.. Lab Report # <br /> Regulatory ❑Yes 0 No <br /> 1405 Kansas Avenue Phone: (209)572-4900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: ( 2DI ) S3 Z - �'n z 1 <br /> Client: A G'S CHAIN O,f Fax: ( 2ol) 53 7 —3 Y-D cf <br /> a <br /> Adress:, ! Y Y 7 my'b - CUSTODY To: ���"1 <br /> CVS Zip 9.5.3 TO <br /> Lab Use Only <br /> Project 1D �A c Cb r.� S Iff�'i a <br /> (Print Name) <br /> Sampled By Wy III ,ate' <br /> (Print Name) Q- Container > t <br /> Sample type a <br /> Sample YD z <br /> Date Time Grab Comp Matrix Type Sixe �` Remarks <br /> /6fd l y 5 5 K f3a I l q l X t l <br /> 7 .. .'{ <br /> *g. 'sgo g, <br /> .N <br /> V `N`VM <br /> «c <br /> r i ;L 4" <br /> Remarks <br /> Relinquished by(Signature) at "rime Received (sig to D Time <br /> 7�r�j�'fi � � ) <br /> Relinquished by(Signature) Date Time Received by(Signatu ) Date Time <br /> Preservative: 1Q-4°C Q-HCI (3-NaOH ®-Na2S203 ®-HNO3 ©-H2S 04 Q-Others ®-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />