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Mmt'41'MI-- <br /> GeoAnal tical Laboratories Inc. Lab Report# J3572, o5 <br /> y Regulatory es ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: " ce- <br /> Modesto,CA 95351 Fax: (209) 572-0916 —t75/' <br /> Phone: (ZOfl <br /> Client: T�E 'V (, eD . CHAIN OF CUSTODY Fax: (2M) <br /> Address: 72,5/ Aj - r cy m t4-n/ " To: <br /> City. Locti ct9 Zip 95-2 Seo �� <br /> Project ID fib' T�n�><$ te"V eN CA-- Lab Use Only <br /> (Print Name) �Gj�� Yf.a•.•, iV <br /> Sampled By PAA4c7r y ' <br /> (Signature) Container-2 4eA he <br /> Sample type ' °tn'b ID# <br /> Sample ID Type size V ( w <br /> Date Time crab comp Matrix <br /> 12.W-1 7595— <br /> 5 1,12)(4, XXX I I-Remarks . <br /> f S1 <br /> .os' - <br /> K2- t 9' . ' <br /> Z 1 /0 1 S <br /> IL <br /> Remarks <br /> Relinquished by(Signature) Daly Tina R ved by Signa ure) Date Tirne <br /> Relinquished by(Signature) Date lime Received by(Signature) Date Tim <br /> Preservative: 1Q-4°C 0-HCI Q-NaOH ®-Na2S203 Q5 -HNO3 ©-H2S 04 @-Other &Other <br /> Site Time: S l/ Driving Time: 3� 5 �*tA/V Total I[ours <br /> Start: 0 Finish: a Total Hours: l Start: lO ite i I: 1( x2= L <br /> Mileage: S S )(2 = 6 41i s, Approved By: <br />