Laserfiche WebLink
GeoAnalytical Laboratories, Inc. Lab Report# K� Y <br /> Regulatory AYes ❑ No )t/S <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209) 572-0916 _ <br /> Phone: (Zoy) �o?Y—�'6 S-"3 <br /> Client: S c,c.r' CHAIN OF CUSTODY Fax: ( ) <br /> Address:_ /,2 1 -1 S t -7 h S}- To: Tiu <br /> City M n 0_5-�o Zip q:5315-1 <br /> Project ID 5►�E[t_ S T7q rl N ►3(op Es . (17 � � Lab Use Only <br /> (Print Name c f IG1/ <br /> Sampled By i 1 c1-t/-g2 0 C I <br /> (Signa Container o yQ' fir`' �; <br /> Sample type o i' q` Lab ID# a <br /> Date Time Sample ID z �� Gti p! <br /> Grab Comp Matrix Type Size V <br /> 3 <br /> 15 ✓ S -r K S ZX Remarks K209 9S- <br /> Ll <br /> SLl :0 0 `/ CV Sf' S I X x X X .i' X Zo 2" <br /> 1 i'- A -2 X I X,1028 7 � <br /> . L - S I X o 7 R-f 1 <br /> ySP - L'Li I <br /> 5 X X 20 l <br /> S L - Z 5 X X X <br /> � s - 3 A 5 x X �lzv 9 <br /> 5P - 3p I x x X /azo f <br /> ; 70 TK -1 „.J'_ IY %z i X KZo <br /> _ - i; c' 15 S i X_ X v <br /> 4 ; q5— <br /> Rctnarks <br /> Relinquished by(Signature) Date Time Received by(S n ) /Da Time <br /> Relinquished by(Signature) Date Time Received by(Signao) Date Time <br /> Preservative: 1Q-4°C ©-HCI 3Q-NaOH ®-Na2S203 @5 -HNO3 ®-H2S 04 ©-Other ®-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: t I Finish: 151- 15 Total Hours: 2 Stan: Sit Arrival: i x2= <br /> MileaL*e: Approved By: <br />