Laserfiche WebLink
• Lab Report# b22:)!�V <br /> GeoAnalytical Laborato les, Inc. <br /> Regulatory ❑Yes ❑ No CC: ❑ Yes ❑ No - <br /> 1405 Kansas Avenue,Suite"A" Phone: (209)572-0900 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: <br /> Client: �— /V 7t� HAIN OF CUSTODY Fax: 1Z.6', <br /> Address: t!Z O Original To: <br /> City b I zip ,��62— <br /> Project ID r Lab Use Only <br /> (Print Name) ��~ ted <br /> Sampled By v y > <br /> (Signature) Container <br /> O <br /> Sample type a 'L0.113#� <br /> Date Time Sample ID z <br /> Grab Com Matrix Typesize <br /> 64 O ) <br /> iiemarks� �"., � s <br /> W <br /> 1lfl j I�f. <br /> 1 <br /> �Y fy <br /> Remarks 1 <br /> Relinquished by.(Signaturc `Date Time a tS,s }� <br /> Relinquished by(Signature) Date Tim Received by(Sign ure) Date Time <br /> Preservative Matsu <br /> 0-4°C Q-HCL Q-NaOH 10-NazS203 Q-HNO, .Q-HZ S O, 0-01her Drinking Water(DWaste Water 4W Hazardous Waste(Water) ©SoiilSolid <br /> Site Time: Time Mileage <br /> Driving Timc: , <br /> Start: Finish: Total Flours: Start: Site Arrival: x2=Total: <br /> Turnaround Time OStandard ❑Silver Rush ❑Gold Rush ❑Platinum Rush 00ther: Approved By: <br />