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Lab Rcort# <br /> -.. GeoAnalyficaf Laboratories, Inc. <br /> Regulatory *Yes O o <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator; <br /> Modesto,CA 95351 l=ax. (209)M-0916 <br /> Pbone: LIoP�) <br /> Client: CHAIN OF-CUSTODY Fax: (eo; ? "2 <br /> Address: •� l 7 ry `j'�- To, <br /> City <br /> Project ID � !l� Lab Use Only <br /> (Print Name) ,� k <br /> p y <br /> Sampled d { ignaturc) Container <br /> Lab iQ <br /> Date Time P TD <br /> Sample Lytle Sample <br /> Grab Cn[np Metrix Type Sixe <br /> Remarks <br /> /Z;lI K Z <br /> w64- f <br /> t ,3I <br /> X33 <br /> Remarks <br /> kelu[yuisl[cd by(5ignnlurol Ume Ciuw It Vi by tsigia[ure) aye Tine <br /> Relinquished by(Signsuuru) Uua Tijow I IleLuve by(Signalure) Darr 7ir[r <br /> Preservative: Q-4°C Q-HCl O-NaOH ®-Na2S20, @-HNO, 06 -H,S 0,, Q-Other O-Other <br /> Sac Twc , � 0141 �/ Elriviu�r r✓ Tota!�u <br /> Sian: Finis To[ai Huars: +J 11 I 'sr 12r <br />