Laserfiche WebLink
GeoAnal tical Laborafrles Inc. LabReport#?! r�t7 - <br /> Y <br /> Regulatory DYes D No CC: Dyes O No <br /> 1405 Kansas Avenue Phone (209)572-0900 <br /> Modesto,CA 95351 Fax. (249)572-0916 Regulator: <br /> Phone= (--o?) S ,::� .3 <br /> CIient`C CHAIN OF CUSTODY Fax: { ) <br /> Address c? 7 Vg, r z4an 4& Sac ° y VlL OEDF OEDT Original To- <br /> City M . NS 7 -o , Cq Zip FIELD LOGS C C To: <br /> Protect ID Lab Use Only <br /> (Print Name) <br /> Sampled By o y <br /> (Signature) Container w <br /> o � <br /> Sample type o Lab 1HD# <br /> Sample ID z , <br /> Date Time Grab FComp MatnN Type Size <br /> Remar <br /> f . 11r,-317 ffr ed- L 1 a <br /> a3 e 6, 8 L <br /> w <br /> E <br /> Remarks <br /> Relm s by ignature) Date Time Received by(Signature HiDiate <br /> Time <br /> . f- � <br /> Relinquished by(Signature) - Date Time Received y(Signal ) / Time <br /> Preservative Matrix <br /> O4000 HCL&NaOHO NaZSz03 0-HNO3 O-H 2S 04 Other Drinking Water®Waste Water Hazardous Waste(Water)©SotUSoUd <br /> Pump Truck Time Mileage <br /> Bailers 55 Gallon Drums Q <br /> Approved By• <br /> Turnamod i tme []Standard Q&irer Rush QGuldllush Ptatmum Rush QOther <br />