Laserfiche WebLink
Geobalyfical Laboratories, hic. Lab Report # <br /> Regulatory �Xes Ll No 7`s A1405 Kansas Avenue Phone: (209)572-0900 // <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: C� <br /> Phone: (2_c�t:j' 7-5- <br /> Client: <br /> -5Client: 7 c9P ©/L CHAIN Of Fax: (meq ) 3(v�f - IYSf <br /> Adress: 12X CUSTODY To: s_C1L <br /> Lo Zip _ 4'c- <br /> Lab Use Only <br /> Project ID �,bt irjg Z21dcA) d <br /> (Print Name) � <br /> Sampled By <br /> (Print Name) Container <br /> Lab ID# <br /> Sample type �� <br /> Sample ID f <br /> Date Time Grab Camp Matrix !_C �� Type Sixe Remarks <br /> 6 --� 4 <br /> d fp fV c <br /> D' S - <br /> G� Z 'S <br /> a �- - <br /> ! s -7� AN I <br /> o Z�r sF-s <br /> Remarks <br /> 4A A <br /> Relinquished b g ire) Dale Time c e ignat e) ate ZtTir�e p, <br /> v <br /> 6-11-y� - SCJ <br /> Relinquished by(Sign re) Date Time Received by tgnature) Dale Time <br /> Preservative: Q-4°C (D-HCI &NaOH ®-Na2S203 a-HN03 &H2S 04 (}7 -Others 8Q-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By• <br />