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Lab Report# <br /> 0 GeoAnalytical Laboratories, Inc. Regulatory Mes 13No cc: C1Yes pNo <br /> &Q:Q1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: { ) <br /> Client CHAIN OF CUSTODY Fax. { ) <br /> Address 13EDF 13EDT Onginal To- <br /> City Zip 0 FIELD LOGS C.0 To• <br /> Project ID Lab Use Only <br /> (Print Name) G �ti <br /> Sampled By <br /> (Signatu Io y <br /> Container <br /> Q <br /> Sample type o <br /> ID <br /> z <br /> Date Time Sample Grab Comp Matn p Type Sue ~ Remarks9 " <br /> t3 <br /> 0,oo W — 5 - <br /> cm3 <br /> ,6D { <br /> t► a r y, w <br /> 1 4 <br /> �W <br /> Remarks <br /> i <br /> Relinquished by(Signature) Date Time Received by(Si at ) Date Time <br /> -u <br /> 2( �3 6s l <br /> Relinquished by(Signature) Date Time Receiv by ignature) ID to Time <br /> Preservative Matnx <br /> O 4°C8HCL0Na0HO Na2S203 10-HNO3 0-H P Oa 0-0ther 4T. 1%Drinking Water(D Waste Water ® Hazardous Waste(Water)©SoNSolld <br /> Pump T ck Time Mileage <br /> 13 <br /> Bailers 55 Gallon Drums <br /> Approved By <br /> Turnaround T'inK ❑Standard ❑Silver Ruth Gold Rush Platinum Rush Other <br />