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• .r��r: Lab Report# W <br /> GeoAnaly�.�cal Labor at�ies, Inc. -- <br /> Regulatory ❑ Yes ❑ No CC Q WOW No <br /> " 1405 Kansas Avenue, Suite "A" Phone (209) 572-0900 - <br /> Modesto,CA 95351 Fax (209) 572-0916 Regulator, <br /> — - Phone. (z0�;) <br /> Client CHAIN OF CUSTODY Fax: (Ze p ) <br /> Address O Original To- <br /> City <br /> City /�t; Cod Zip S Reporting: �� EDF ❑ EDT <br /> Pioject 1D P-4- Nor} Mk _ `� Lab Use Only <br /> (Paint Name) <br /> Sampled By °' <br /> (Signature) U, <br /> ContainQINS <br /> er w � 1 � <br /> ° �• I a <br /> Date Time Sample type Sample ID z n Lab ID # w <br /> _ Grab Conip Mainx ,�A Type Size i p4 <br /> 7— �d $•?(D � ' �'` y _ Remarks; <br /> I 9,s-;6 14, <br /> 0 OCA i I y am <br /> 11 <br /> o7j44 <br /> E <br /> I <br /> I <br /> 3 - <br /> I <br /> I3 <br /> Remarks --- -- ___ <br /> LIM <br /> Relinquished by(Signature) Datetine Reeeive (Srguature) ale Time <br /> Relnutuished by(Signature) Date Time Rbc&fved by(Signature) `I]Ile I une <br /> Preservative hlalrr_r <br /> Q-4°C Q HCL Q NaOH Q-Na2S203 Q HNO3 Q-H2 S 04 &0ther (DDnnking Water QWaste Water(=hazardous Waste (Water) ©SoffSohd <br /> Site Tail Driving Time Tune Mileage <br /> St Irl Finish Tolal hours Start Site Arrival x2=Total <br /> 3 um iround Trine OSlandard ❑Silver Rush ❑Gold Rush C]Plaiinun Rush ❑Other Approved By <br />