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li• ii (i (i (� 11• � 1� 1� 1� . � � 1� � � <br /> �.-- — <br /> Ge.oAnalytical LaboratoPes, Inc. <br /> Lab Report # • <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulatory ❑Yes D No <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: (2,Di } S 3-Z --LpZ <br /> Client: A CFS _ CHAIN Of rax: (Zo`i } S3 Z - 3 9 <br /> Adri ss: r `I tq-7 CUSTODY To: <br /> r a C Zip 9S_? 7b <br /> Project ID —If a C CD r,( S r a Lab Use Only <br /> (Print Name) <br /> Sampled By R y �, ;bsHq <br /> (Print Name) Q p Container o Q <br /> Sample type N .T <br /> Sample TD zs.• �' � �„�;° <br /> Date Time Grab Comp Matrix Type Sixe {� Remarks <br /> .•# <br /> 71tsli,Fr I S X — L/ — t Z ' Qsr5;r;jt. <br /> -Rte'Kt, A <br /> -ny�Yx�'f,• <br /> iC <br /> at. I&. <br /> Remarks <br /> Relinquished by(Signature) _ Dat LTM R cei a S• ur ) Ti <br /> 2/IS f b! 1 <br /> Relinquished by(Signature) Date Time Received by(Signalure) , Date T-tate <br /> Preservative: 1Q-4°C &HCI Q3 -NaOH ®-Na2S2O3 QQ -HNOa ©-H2S 04 7Q-Others 8 -Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />