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^ <br /> - GeoAnalytical Laboralfies, Inc. Lab Report# FD,2 <br /> Regulatory ❑ Yes ❑ No CC- 0 Yes ❑No <br /> 1405 Kansas Avenue, Suite "A" Phone (209)572-0900 <br /> Modesto,CA 95351 Fax (209) 572-0916 Regulator: <br /> Phone: ( ) <br /> Client CHAIN OF CUSTODY Fax: ( ) <br /> Address G. r' 7�t [ �S' Original To: <br /> City /l. st � s,.. zip S '� > <br /> Project ID ;I� .f'-��-� ��L Lab Use Only <br /> (Print Namedd <br /> Sampled B w <br /> (SignaEn i Container <br /> w <br /> Sample tyPz - <br /> Date Time Sample ID z ;M Lab,ID# <br /> Grab Comp Matrix Type Size <br /> 2-2 <br /> Remarissi <br /> y � r <br /> i <br /> I i k 2 <br /> i ^ <br /> n � <br /> S E � <br /> k ak y <br /> Remarks <br /> Rettteda ) Timc Received b afore tTime <br /> etignature) Date Time Received b Sig ure) Date Time <br /> Preservahve MatrEr <br /> Q-4°C ©-NCL ®-NaOH ©-Na2S203 ©-HNO3 0-H2 S 04 Q-Ober 49Dnaing Water Owaste Water®Hazardous Waste(Water) ©SWSolld <br /> S1tartet Driving Time Time Mileage <br /> Finish Total Hours Start Site Arrival z2=Total <br /> Turnaround Time 17Standard OSilver Rush ❑Gold Rush OPlatinum Rush OOther Approved By <br />