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�• Lab Report # <br /> --- -.. GeoAnalytical. Lauoratones, Inc. <br /> Regulatory C1 Yes 11 No <br /> 1405 Kansas Avenue Phone (209) 572-4900 Regulator- <br /> Modesto,CA 95351 Fax (209)572-0916 <br /> Phone• (l ) <br /> CHAIN OF CUSTODY Fax: ( ) ? � <br /> Client J• [ t3 �_�• C' � . <br /> Address <br /> To: <br /> City ZIP!2 S:7 <br /> Project YD f��-� „ `� Lab Use Only <br /> 4 <br /> Print Name a <br /> ` }4 l d <br /> Sampled By <br /> � •r ~1r f0 <br /> (Sign Container w <br /> r Lab ID# P <br /> Sampi:. ,�r_ ,� , , � r <br /> Date Time ample TD Matnic TWC Site <br /> Crr4 Comp <br /> Remarks <br /> r <br /> Remarks <br /> R wby(S i+at Date line 6y(Signa rt) Date Time <br /> /Rciinquislidd by Stgnaiure) Date 1 ia>C tteLcivtid by(S nature) p Date Time <br /> Preservative 1Q-4°C 20-HCI (D-NaOH 4Q-Na2S2O3 Q5 -HNO3 ©-H2S 04 0-0ther @-Other <br /> Site Tirm Unving Tithe Total Hours <br /> Start rinish Total!lours Start Site Arnval x2= <br />