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® .._ • Lab Report # <br /> GeoAnalytxcal Laboratories, Inc. <br /> Wa <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: 7 7 5 <br /> Client: A cd,l 6jk'io6i 1- �.eyic65 /NUCHAIN OF CUSTODY Fax: Loy -- 53 Z S d 7 <br /> �,0 6 346 To: <br /> Address: 6 X <br /> Snro{A zip s d <br /> Project ID a� <br /> (Print Name) n <br /> I 0 CAN w/l 4-10 G <br /> Sampled By (Signature) Container r <br /> 0 -2L-ZJContainer <br /> Lab ID# <br /> Sample type O <br /> Date Time —FC Sample ID Type Size z° <br /> Grab amp Matrix <br /> 1� g} 1556 o VOA 1 A I I <br /> ss9 X vi <br /> 16 a 1 vJ M w —$ OA I-Q Z7-31 6—Z7 <br /> 6c '3 2- <br /> M W 6A,L I — <br /> s iJ M mei 1 Z 3/-7 6 O <br /> it VV M vi 5 7- <br /> /�13 �},�E 1 'moi '�z <br /> /c IE <br /> c 21 zi <br /> Remarks <br /> Relinquished byF_ at Date Time Received by (Signature) Date Time <br /> Relinquished by (Sianature) Date Time Received by (Signature) Date Time <br /> Relinquished by (Signature) Date Time =[At La atory by(Signature) Time <br /> �iPa e ; ?, <br /> Site Time: Driv Time: Total Hours <br /> Start: Finish: Total Hours: St Site Arrival: x2= <br /> Mileage Approved By <br />