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Lab Report# o <br /> �.._ GeoAnal tical Laboratties, Inc. <br /> 1 v <br /> y Regulatory )kYes ❑ No CC. ❑ Yes ❑ No - <br /> 1405 Kansas Avenue, Suite "A" Phone (209) 572-0900Lcp_j <br /> S <br /> Modesto,CA 95351 Fax (209) 572-0916 Regulator. GYM Jog- Q (.{,+✓? Co.. I)ULVCckri <br /> Phone: (ZUl) fJ 7 7 <br /> Client h .J KJObe 12 riti Yr?_ "LGSSG C CHAIN OF CUSTODY Fax: (Zol ) <br /> Address Po Bo X 5 7(o3 Original To: /12— <br /> City MU rl e C h) .C f Reporting: EDF ❑EDT <br /> Project ID 9i"PLICLf l�f f I 1 Lab Use Only <br /> (Print Name) <br /> Sampled By ,y <br /> (Signa ) - Container U $Q' <br /> o v <br /> Sample type o Lab ID# <br /> Date Time Sample ID z <br /> Grab Comp Matrix Type Size 0� <br /> 05 'X - x Remarks K'5 C�"16 <br /> w-v2, -� -f- <br /> 16- - 2 10; A -3 Y, x x 310 1SC <br /> r!7I 12Q'� C rr , <br /> Remarks A 1�P =cii W 6 vw c y +T►'Lt-�e <br /> EJl- i <br /> Relinquished by(�ktgnature) Date Time Received by(Signature) Date Time <br /> )0111)0,L ' 6 <br /> Relinquished by(Signature) Date Time Received by(Signature) D to Time <br /> Preservative Matrix <br /> 0-4°C 0-HCL Q-NaOH Q-Na2S203 Q-HNO3 Q-H2 S 04 0-0ther Drinking Water SWaste Water()Hazardous Waste(Water) ©Soil/Solid <br /> Site Time Driving Time U e Mileage <br /> Start Finish Total Hours Start Site Amval x2=Total 1 - <br /> Turnaround Time ❑Standard L3 Silver Rush OGold Rush OPlatinum Rush UOther Approved By <br />