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J L ANALYTICAL SERVICES, INC. i <br /> REMIT TO: LOCATION: <br /> P.O. Box 576185 217 Primo Way <br /> Modesto, CA 95357 Modesto, CA 95351 <br /> Office: (209) 538-8111 FAX (209) 538-3966 <br /> CompanyName:_ .'�./ate r ! ' Z Date Sampled: <br /> led:_ — <br /> Contact Person: Time S� -- <br /> Sampled By: L-6 Date Submitted: - <br /> System Number: Well Number: <br /> Additional f <br /> Information: <br /> Chain of Custody: r� <br /> Relinquished by: �/ .._. f�1 ,��l. �z_ o_ Received by: <br /> Company: �� _ Company: <br /> Date: � - - V &/ Time: <br /> f _ I Received b <br /> Relinquished by: y <br /> 4 Company: Company: <br /> } Date: Time: <br /> E <br /> Relinquished by: Received by: <br /> Company: Company: <br /> Date: Time: <br /> Please analyze for: <br /> General Mineral Analysis <br /> Inorganic Chemical Analysis <br /> General Physical <br /> Nitrate <br /> Coliform <br /> _ DBCP/EDB{EPA 504) <br /> ! EPA 505 <br /> EPA 507 <br /> Heterotrophic Plate Count <br /> Gross Alpha <br /> Uranium <br /> EPA 502.2 <br /> EPA 515.1 <br /> EPA 531.1 <br /> EPA 547 <br /> EPA 548 <br /> f lblankcoc.doe <br />