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GeoAnalytica <br /> 1 Laboratories Inc. Lab Report# <br /> Regulatory ' Yes ❑ No CC:'t�CYes ❑ No., o <br /> 1405 Kansas Avenue, Suite "A" Phone: (209)572-0900YLtG <br /> Regulator: Q'0 ti 1 CCo .. <&din L6F- <br /> Modesto,CA 95351 Fax: (209) 572-0916 36�_ �S <br /> Phone: (ztf) <br /> Client: L CHAIN OF CUSTODY Fax: (7ff) <br /> Address: K Original To: tYlV9-lL lA FP — <br /> City G Zip Cls Z�� <br /> Project ID 7+i9�K- �uLL �, nJ, iZ ��/ /� Lab..Use Only <br /> .................... <br /> (Print Name) 5 <br /> . Sampled By 1 U <br /> (Signature) Container u k <br /> . <br /> x k Lab ID# <br /> Samp letypeSample ID z <br /> Date Time Type size <br /> Grab Comp Matrix � <br /> 19- <br /> I%, ! x X x -K- Remarks; <br /> r r <br /> '.5Z #?✓ <br /> 2:5-3 <br /> i <br /> Remarks <br /> Date tme Received (Sig atur <br /> 3 3 e) Date Time <br /> Relinquished by(Signature) t�O r (r <br /> �/ - <br /> Relinquished by(Signature) <br /> Date Time Recei y(Signature) Date Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL ©-Na0H .Q-Na2S203 Q-HNO3 Q-H2 S 04 G-Other eDrinking Water (Waste Water(Hazardous Waste(Water) ©Soil/Solid <br /> Time Mileage <br /> Site Time: ,���'(� , O Driving Time: a �� ' /� <br /> Start: Finish: Total Hours: Start: Site Arrival: x2=Total: t ��j 2= <br /> Tnrn,irmund Time Standard ❑Silver Rush ❑Gold Rush ❑Platinum Rush ❑Other: Approved' <br />