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1r••� GeoAnalytical Laboratories, Inc. Lab Report# 1") <br /> Regulatory ❑Yes ❑ No p'] l � 2.- <br /> 1405 Kansas Avenue Phone: (209) 572-0900 V <br /> Modesto,CA 95351 Fax: (209) 5?2-0916 Regulator: <br /> Phone: ( } S 3 7 r O�y y 2 / <br /> Client: C7 S _ CHAIN OF'CUSTODY Fax: ( } S 32 - �o <br /> Address: I`I V7 a),13% vV a c/ .� To: CT - <br /> City 50-).,�� Cir- z;p s37� a J a 2- <br /> Project <br /> Project ID 1 r c, CY Cola S a 5 '0__ I". Lab Use Only <br /> (Print Name) Ic <br /> <` <br /> Sampled By � � l� �� y _ �;' , <br /> (Signature) if <br /> Container..- u <br /> w,< <br /> Sample type Sample ID S Lab ID# <br /> Date . Time Grab Comp Matrix "type <br /> 0/7 qS' 12 S x 7'C S 1 C o b5 r L. fb I Remarks <br /> 1 7q8 13oZ TC S - 2v9 21, : <br /> /v 7/f r ) 3d1 "CS - 263 l <br /> (D 7 9f 1311 X -7 C -S 3 0j v v s'' 2 fb r 4 <br /> 0/7 rg 13 la x TC E - 3 B <br /> TC 5 yY� Ctv aSr 1'� Z _:i <br /> c S - y 8 l ,. fig <br /> �a/?/p8 13!b x TC s - 2 <br /> /4 7/98 ) 317 x TCS - S 8 LLt <br /> ID f'B I ) 3Z17-CS - (oIq C`o <br /> Remarks <br /> Relinquished by(Signature) at Time Receive y(SigVu ) e Turn <br /> !'1/ �a/7j�� 1515e_�_ =A / %o <br /> Relinquished by(Signature) Date Time kc"b (Signatum) D tc Time <br /> Preservative: Q-4°C (0-HCI ®-NaOH @-Na2S2O3 Q-HNO3 Q-H2S O4 Q-Other ®-Other . <br /> Sita Time: Driving Time: Total Hours <br /> Start: >tnisk Total Hours: Start: Site Arrival: x2-r <br /> Mileage: �_ - Approved-11y. v <br />