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� -o • <br /> �Y � t GeoAnalytical Labors ories, Inc. Lal Report# 25 <br /> Regulatory CI Yes E3No CC [7 Yes 13 No <br /> 1405 Kansas Avenue Phone: (209)572-0900 <br /> Modesto, CA 95351 Fax, (209)572-0916 Regulator• <br /> Phone- (209) 577-8186 <br /> Client M.J . Kloberdanz & Associates CHAIN OF CUSTODY Fax. ( 209) 577-8158 <br /> Address P.O. Box 576981 ®EDF El EDT Original To <br /> City Modesto, CA Zip 95357 ® FIELD LOGS C.0 To <br /> Protect ID Rzpona Market Quarterly <br /> Lab Use Only <br /> (Print Name) c <br /> Sampled By ,. <br /> a <br /> (Signature) Container W �Qrox - 110, <br /> Sample type z° �� Lifibi , <br /> Date Time Grab Comp Mata Sample ID Type Size Remar s <br /> 61-5 l /Z- X WW MW-1 G Voa 4 X <br /> X WW MW-2 G Voa <br /> Z X WW MW-3 G Voa 4X r l <br /> 7 50hoo X Trip Blank G Voa <br /> Remarks <br /> Relinquished by(Signature) Date Time Receivey(S�gnature) Date Tame <br /> Relinquished by(Signature) Date Time Reetv a by(Signature) ate rime <br /> Preservative Matrix <br /> O4008 HCL j&NaOHQ Na2Sz03 a HNO3 v-H SO,, Other Drinking Water 0 Waste Water Hazardous Waste(Water) �SotllSofid <br /> 1 Pump Truck Tt Mileage <br /> Bailers 3 55 Gallon Drums ® .Ir day pu p 19 <br /> Fu--.undTinw ❑$landardApproved By <br /> ___..... ❑Silver Rush Cold Rush ❑Ylatfnam Rush []Other - — ---- I <br />