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GeoAnalytical Laboratories, Inc. Lab Report# Yes No <br /> Regulatory <br /> 1405 Kansas Avenue Phone (209) 572-0900 Regulator. " <br /> Modesto,CA 95351 Fax (209)572-0916 ; <br /> Phone (zb`) <br /> Client W PAc7 P`1-jet`Jj))a+_�AA15, �' C AIN OF CUST4 Y Fax {hof ) � 5 Z � <br /> Address 7 To �1 R <br /> City G'A'" Zip <br /> S 3 74' o� <br /> -y- Lab Use Only <br /> Project ID �1�� I/ �� f� _ <br /> {Print Name) y d <br /> �7�JFz�� o y �� e <br /> Sampled By Container ' <br /> (Signature) <br /> Q <br /> 7,4 63- <br /> Sample type Lab ID# a <br /> Sample ID Type Size <br /> Date Time Grab Camp Matrix <br /> Remarks <br /> 3z- 9f W / <br /> l, '¢"e— <br /> mu y <br /> TRK 0- A0 /d 1 y <br /> Remarks <br /> lei <br /> Date Ttme R e e a ore a Time <br /> Relinquished by(Sig <br /> Z <br /> fbygnature) <br /> Date Time eceived by fSignatu ) Date Time <br /> rvative 1Q-4°C �2 -HCI ®-NaOH (@-Na QQ -HNO3 ®- 04 7Q-Other -Other <br /> Driving Time ar) 3s Total Hours <br /> Site TimeC7 r/Z— Start D.Zffo_ Site Arrival x2= ` ��/N/AJ <br /> Startr ,�10 Finish Total Hours <br /> ' <br /> Mileage: 57 Approved roved By: <br /> Z <br />