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eoAlyticl Laboratories, Inc. <br />1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 <br />Modesto, CA 95351 Fax: (209) 572-0916 <br />Client: w`AnJAc-,Er"lrt I OF CUSTODY <br />Address: �L�-73�"><2�/0"7 <br />City CA Zip I? <br />Proiect ID <br />Lab Report # C) -- <br />Regulatory ❑ Yes ❑ No CC: ❑ Yes ❑ No <br />Regulator: <br />Phone: ( ) �y J6d9 <br />Fax: (S'"/d > 7w 3 y/ <br />Original To: uc-A1r✓ (� <br />Sampled By <br />jf�uk <br />Container <br />e <br />g <br />ti <br />*GrabComp <br />z <br />t] <br />V <br />1i� C4 <br />i .. 1 <br />Date Time <br />q <br />H� <br />Matrix <br />Sample ID <br />n . 1�✓_ \ / %i�iii-r ie An-ri..'� <br />Type <br />i� <br />Size <br />w . <br />Remarks <br />Relinquished by. (Signature) --. Date Time•Received by (Signature) <br />X 1'00 10.77 ,, <br />Relinquished by (Signature) Date Time Received by (Signature) <br />' Lab Use Only <br />................. <br />Pw <br />F <br />flab 11) <br />Remarks! <br />Dat Time <br />Date Time <br />Preservative — <br />Matrix <br />-4°C -HCL -NaOH Na2S203 -HNO3 .-H2 S 04 -Other 4Wrinking Water Waste Water Hazardous Waste (Water) @Soil/Solid <br />Site Time: <br />Start: Driving Time: Time Mileage <br />Finish: Total Hours: Start: Site Arrival: x2=Total: <br />Turnaround Time ❑Standard ❑Silver Rush ❑Cold Rush ❑Platinum Rush OOther: ^ <br />Approved By: <br />0 <br />