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l p� <br /> GeoAnalytical Laboratorls, Inc.. <br /> Lab Report # <br /> Regulatory El Yes D No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> nn Phone: (7fl`1 ) 5 .3 <br /> Client: i7 CTS CHAIN Of Fax: (2oq ) -53-Z <br /> Adress: l `� `�7 avo c"7 Vi'l CVS 1 OD I To: <br /> 5i�,16rg CP', Zip 452 t> <br /> I <br /> Project ID r4- Co c( 5 7`D/ a Lab Use Only <br /> Print Name) ' <br /> Sampled By (print Name) _ Container <br /> d41 G#�. y <br /> Sample type a t � <br /> Sample ID z r L <br /> ,Q <br /> Date Time crab Comp Matrix Type Sixc /�` & <br /> Remarks ., �s�,,.. <br /> In WE AMR-tN 0§14, <br /> t�a �iMMl <br /> , <br /> MORN i MM <br /> N 001 <br /> N <br /> 3� k-'e�sY.yS'�y �9 _ STF•x <br /> wu <br /> Remarks <br /> i <br /> Relinquished by(Signature) Aa <br /> t Time Received by g atu ) t) a ii <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative: 10-4°C 2&HCI Q-Na0H ®-Na2S203 Q-HNO3 ®-H2S 04 ©-Others ®-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />