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Lab Report# 1 <br /> GeoAnalytical Laboratories, Inc. <br /> Regulatary 'es ❑ No C44-d G <br /> 1405 Kansas Avenue Phone (209) 572-0900 <br /> Modesto,CA 95351 Fax (209) 572-0916 Regulator: � ",(--'-,AJ <br /> Phone: (Z.01/) 7 <br /> Client W � � �1(�JN J "` L' CHAIN OF CUSTODY Fax- (Z,�r) <br /> Address LZ /2 /0"'t 5'f- _ To: <br /> City Zip <br /> Project ID 1'Yl I'VL A''(46u� �� Lab Use Only <br /> (Print Name) � �� n y <br /> Sampled By <br /> (Signature) Container > <br /> Sample typez �\ Lab ID# <br /> Grab Comp a <br /> Date Time Matnx Type Sue Sample ID <br /> ®®�� <br /> 2 0 5 G� GUAze Y Yz- 6_ j Remarks <br /> / Z K- >< 5f-yv'-/ % A) j <br /> 61�QfkIL <br /> �/w.ec�iti A nJ� <br /> Remarks <br /> Relinquished by(Signator 5'�a Time ec b ( a case tTime <br /> Relinquished by(Signature) Date Time Received by(Sign ore) Date Time <br /> Preservative Q-4°C ©-HCI O-NaOH &Na2S203 Q5 -HNO3 Q6 - 04 Q7 -Other &Other <br /> SiteTirne �� Dnving Time JS/Yt INS Total Hours <br /> Start Finish 2 Total Hours Start Site Arrival x2= <br /> NLleag6 � �� _ A oved Byt <br />