Laserfiche WebLink
Lab Report# <br /> GeoAnalytical Laboratories, 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: (�f�G ) ��.z-9,M3 <br /> Client �i►/ ,d �w �,�� CHAIN OF CUSTODY Fax: (Cjc6 ) _Z�6 --701jI <br /> Address _69, t ccz!t,-u--rL ,�l'�Ir — ;?cf A 77, Original To: � Sc�rJ �aaSJ � Cy2 <br /> City y<c�;S�trrG L. Zip_96-6 Ze <br /> Project ID R cZr[ aLab Use Only <br /> (Print Name)/ e CO <br /> Sampled By <br /> (Signature) <br /> y � <br /> Container wo �T <br /> Sample ype Lab ID# a� <br /> Date Time Grab p Mama Sample ID l'pe Size z AK <br /> JE -rl) f Lr,o2 `� ) <br /> S23- 6{ C Remarks <br /> � Y <br /> !, I /� <br /> lolo Gc/ SB-I (�rJ 1/DR 4J2 L <br /> r� t L7'(7 <br /> 3 <br /> 3 <br /> i <br /> } c <br /> 3 <br /> Remarks <br /> Relinquished by(Signature) Date Time Reee,�&ature) Date Time <br /> Relinquished by(Si afore Date T R e d by ature) Date Time <br /> -z-ob 2f / <br /> 2-16-% Z,/ D <br /> Presery a Mat= <br /> Q-4°C Q-HCL Q-NaOH Q-Na2S203 0-HNO3 Q-Hz S 04 9-0ther ©Dnnking Water ®Waste Water Hazardous Waste(Water) ©SoillSolid <br /> Site Time Driving Time Time Mileage <br /> Start Finish Total Hours Start Site Amval x2=Total <br /> Turnaround, OStandard ❑Silver Rush ❑Cold Rush OPlatmum Rush L)Otherr `r �� ��� veil _ <br />