Laserfiche WebLink
■_ � s <br /> . Lab Report# <br /> GeoAnalyticai Laboratories, Inc. Regulatory ©Yes DNS cc: Dyes DNo <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator <br /> • <br /> Modesto, CA 95351 Fax: (209)572-0916 • <br /> Phone: (Zaq 3(V a 4 3 ! _ <br /> Client: F rVH I t- &1V 41^l V-f� IV it..- CHAIN OF CUSTODY Fax: (may) 76, 7 !1 tO 3 <br /> Address: Il-7'13 ROVAPY 4-r�k—" D EDF D EDT Original To: <br /> City LODI GA zip Y 7, 410 _ D FIELD LOGS C.0 To: <br /> Lab Use Only <br /> Project ID <br /> (Print Name) <br /> Sampled By k U <br /> (Signature) Container o Q a �` <br /> Sample type Sample ID z <br /> Date Time Type Size Rem2rflkv <br /> Grab Comp Matri <br /> VOA <br /> G�I qa,y L,t- 0 - <br /> i <br /> i <br /> `S N <br /> Remarks s� oro U '°v�� <br /> ` Tmae Received by( re) Une <br /> `,F:2� <br /> Relinquished by(Signature} �fj �' ` Lq <br /> Relinquished by(Signature) <br /> Date Time R iv y(Si tore) a <br /> Preservative: Matrix <br /> O4 IDNaOHO Na2S203 0-HNO3 O-H S 04(VMer Drinking Water®Waste Water 4= Hazardous Waste(Water)GSoiUSolid <br /> Pump Truck Time Mileage <br /> ` Bailers 55 Gallon Drums D <br /> Approved By: <br /> T uu L,1 Su lard ❑Silver Rush QGOIdRush Plalinum Rush 00tbtr <br />