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hIN <br /> Ge ® Anatytical Laboratories , Inc ® Lab Report # y2 �< 160 1 <br /> amk�-- - Regulatory ® Ves ® No CC : MYes d No <br /> 2300 Maryann Dr Phone: (209) 669 0100 <br /> Turlock, CA 95380 Fax: (209 ) 593 2212 Regulator: <br /> Phone : ( D <br /> Client: _Jim Thorpe Inc GRAFI OF CUSTODY 1Fax• ( y <br /> Address: P . O . I3ox 357 93 EDF 93 EDT Origiinal To : MOA, -r 6rp o <br /> City Lodi , CA Zip 95241 FIELD FOGS C.0 To: 5 , ce.1 <br /> Project 1D y <br /> � La ; Use r'� r : <br /> (Print Name) 1 I 0 q <br /> Sampled By RM X <br /> (Signature) u L V <br /> Container t- <br /> � <br /> O V <br /> v. <br /> Sarnpl¢ type m C? <br /> Date ? 6me Sample IID <br /> Grab Com Matrix Type Sure <br /> 11 lU li IW '113 ✓ 5( ` Ta k 9 ' 12. 1 I X X • N 0 <br /> )y ) 7 ✓ — <br /> Ll1zp = 7 1 <br /> ly ' 2Z V Ta 1 7> <br /> )4 2u <br /> 26 T114 <br /> I \ o. F <br /> `lam It A � i-� "F' I <br /> 1 Y <br /> - u <br /> �K tc run s-�IL Pb ar;.- J ;m, I (nc,- � IJ•zgbZ � ;�zy.N � r <br /> Relinquished by (Signature) Date Time Received by (Sign re) 1 Date Time <br /> 11 - 16-1Z 15 ( 20 11 - 16 - 12 G . 20 <br /> Relinquished by (Signature) Date Time Received by (Si atum) Dale Tim_ <br /> PrB erva6ve: <br /> MatnX <br /> 4`l* HCt a01' Na SZOa -HNOa . -HP Ofl er ® Drinking Water 0Waste Water Hazardous Waste (Wader) @SoWsofld <br /> ®roo <br /> Hailers SSC A;ump 711Iti•uck g1199e C1ilea a /�( <br /> ®lrBoe ves ® � . 5 tn_•,- 9 —I l� MiL4t <br /> osva.e.oa usilv. lta cmauuw nw�Milwn Quvncr Approved By: <br />