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0 <br />GeoAnalytical Laboratories, Inc. <br />2300 Maryann Dr Phone: (209) 669 0100 <br />Turlock, CA 95380 Fax: (209) 593 2212 <br />Client: San Joaquin Environmental Health Dept. CHAIN OF CUSTODY <br />Address: 1868 East Hazelton Avenue ®EDF ®EDT <br />City Stockton. CA 'Lip 95205 ® FIELD LOGS <br />Lab Report # A4F2413^^ <br />Regulatory ®Yes ®No CC: ®Yes ® No <br />Regulator: <br />Phone: ( 209) 669-0100 <br />Fax: ( 209) 593-2212 _ <br />Original To: info@geoanalytkallab.com _ <br />C.0 To: <br />Project ID TA#197480 Production Car Care 1 <br />(Print Name) g <br />Sampled By Jeff Wong <br />(Signature) Container $ <br />Sample type Sample ID z <br />Date 'time Grab Comp Matrix p T}Pe Size <br />10 <br />t <br />w <br />0 <br />w <br />Lab Use Only <br />> <br />Lab ID # <br />0. <br />6/18/14 1623 1./ 1000 E Channel Mixing Area Green Liquid ,G4`: 4 oz jar 1 <br />1 <br />1-01 <br />;L:' :i On Ground <br />6/18/14 1628 IL 1000 E Channel Mixing Area White Liquid Gjr.; -,. 4 oz jar 1 <br />✓ <br />-02 <br />Under Mixer <br />6/18114 1630 1000 E Channel Mixing Area Red Liquid Gl L>; 4 oz jar 1 <br />✓ <br />03 <br />9 i u' bed by (Signature) <br />non <br />DateTime <br />Received b (Si <br />azure) <br />t <br />Date <br />�a6ly <br />Terre: <br />01Og <br />Reli coshed by (Signature) <br />Dat <br />Ttmc <br />Received by (S <br />aturc) <br />Date <br />Tisk• <br />Ak Pro rvativa: matrix <br />4 FILL NZ;S O' -HNOa 0-H �S O` • thinking Water Waste Water 4wHazardous Waste (Water) Soll/Solid <br />Balker SS Gallo Drums <br />Pump Truck <br />13 <br />Time <br />Mlkags <br />11128 <br />Approved By: _ <br />'ler.reaed SLw SeneYd 4a.er Baa Gold RaA rletleaw Regia [Beer <br />__ <br />