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. .. _. . ��� <br /> GeoAnalytical Labors ories, Inc, Lab Report # J7, <br /> 1105 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: <br /> Client: Amer1C-c CHAIN OF CUSTODY Fax: <br /> Address:�Zo.:20Z &ill is _ To: <br /> Zip <br /> Project ID <br /> (Print Name) <br /> Sampled By r�lc. c y <br /> (Signature) Container Lab ID# <br /> Sample typeO <br /> Date Time Sample ID a <br /> Grab Comp Matrix Type Size Z <br /> /a-15- 5 X CL-)-t 3V Y1 I --T--3sv 15 <br /> Z- - U 'Z,,) rn cz <br /> -3 � 1 <br /> I " <br /> la-],5-j-; r,-235' w a 1 1 1 -3 <br /> - _ -y F P3 - i'� - 3 �?] <br /> -0-1 <br /> bD <br /> 6 <br /> Remarks <br /> I ' <br /> Rel inquis d by (Si ature) Date Time Re ived ( to rl at Time <br /> h d by { ignature) Date Time c ived by ( ignatute) Date Time <br /> Relinquished by (Signature) Date Time Received At Laboratory by (Signature) Date Time <br /> Site Time: Driving Time: Tota] Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage Approved By <br />