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Report # v `-� • <br /> -- <br /> Geohalyfinl Laboratorie , Inc. Lab Re p <br /> Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: ( 209 ) S 3 2- n 2 f <br /> Client: --S CHAIN Of Fax: (209} 532- -3r69 '. <br /> Adress: 14??y 7 --M t9rr 0 Lu0.�/ -- CV S I OL Y To: <br /> 5tsrt Yot Cyq zip q!u - <br /> Project ID Lab Use Only <br /> (Print Name) <br /> Sampled By Lz <br /> + �� '+ Aq <br /> (Print Name) it Container o IT <br /> --& tiJ v .� � <br /> o abID# d <br /> Sample type o , . s c <br /> Sample ID z � a : <br /> Date Time Grab Comp Mattis Type Sixe Q� Remarks <br /> 48 2ZZ X MW - 7 <br /> 6/19/9 6- 1 2� Z x [vl W-5 - <br /> 6/! lqr 13.05 x Mw_ cr 2 x <br /> M W-G <br /> 6/19 5g 1335 X Mw— IMot <br /> ..'. yAd �j <br /> Remarks Pl e q 57e- i4 r- e- Q TTZ d-t Aj qV�S <br /> Relinqu d by(Signa re) Time R e (Signature) Date Ti <br /> 1611P;7 <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative: @)-4°C (;D-HCI (D-NaOH ®-Na2S203 Q5 -HNO3 ©-H2SO4 @-Others ®-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />