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Lab Report# y" <br /> r eoAalytical Laboratories, Inc. <br /> Regulatory Xyes ® No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator• <br /> Modesto,CA 95351 Fax: (209) 572-0916 �, � ` 7 7 7 <br /> Phone: �/fi ) <br /> Client: CHAIN OF CUSTODY Fax: ( ) <br /> Address: s /' l,) �J e- a ' To: V <br /> City LL��? �C� L"'4¢ Zip <br /> Project ID AP �2' 4_ l ,Y¢,�� 5-4 Lab Use Only <br /> (Print Name) <br /> Sampled By 6= �' - j <br /> AS) UCq <br /> (Signature) Ae'tContainer �Q' <br /> Sample type Lab ID# L <br /> Date Time mp Matrix _6 Sample ID ,type site <br /> Grab Co <br /> wy,I ? ► Remarks 2- <br /> aft <br /> JUN 0 .4 <br /> " AL tt ' <br /> Remarkss —- <br /> /� //fs• / = lZ � S�'t S � /720s _ I <br /> Relinquished by(Signature) Date Time Reccive I by( '-nature j'ate rime <br /> Relinquished by(Signature) Date Time (Signature) Date Time <br /> Preservative: 1Q-4°C 20-HCI 0-NaOH ®-Na2S203 &HNO3 ©-HzS 04 Q-Other ®-Other <br /> Site Time: . `` 1 6 �� Driving Titne: J � Total Hours <br /> Start: / CJ Finish: `/ Total I lours: `' Start' Site Arrival: x2= <br /> Mileage: 7C.`� ✓'� `�' Approved BY: <br />