Laserfiche WebLink
' � � � � � � � � � ■■� ��1 age <br /> 1101 7th Street Chain of Custody <br /> Modesto,CA <br /> (209)5224119 Fax 5224227 <br /> E-mail geologicaltechnics@sbcglobal net Analysis Requested Laboratory Name and Address <br /> Protect# Chent/Protect Name s <br /> spy, 2 . wA _ t�GZv 1 t�� <br /> Site Address vi <br /> Purchase Order# <br /> (? -3-7013T <br /> Remarks 12 <br /> EDF Report C-Ves <br /> o Turnaround Time Standard <br /> Sampled By (punt and sign name) o N 3 l , <br /> _�'Drt;9 At-,&OLD o ` 1 day, 2 day, 5 day <br /> E <br /> Date Time Sample I D z Remarks <br /> a Sb GP3 `I <br /> 13 1. � <br /> L 5 <br /> Reim ed by (signatur Oa a Time Re (signature), A16 91 <br /> lved by Date Time <br /> 'IV <br /> 11irpheby (signatu Dae Time L cei d by (signatu ) Date Time <br /> 1740 <br /> Rdlinquished by (signatgre) Date Time ebeived by signature) Date Time <br /> ­_ - _L I -I-- I I <br /> Please return cooler/ice chest to Geological Technics Inc. Rev lzros <br />