Laserfiche WebLink
GeoAnalytical Laboratories, Inc. <br /> Lab Report# <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: 7 ' <br /> Client: ��� � <br /> - j+ ' g fLs Nt- -� �- CHAIN OF CUSTODY - <br /> - Fax: (v t: ) •r � s :� <br /> Address: jl - Original To: <br /> Cityl-' , ❑ EDT <br /> � Reporting: EDF <br /> Project ID L a-e a-�- 1<. F � A <br /> (Print N rte} Lab Use Only <br /> Sampled By <br /> 4 <br /> (Signature <br /> Container U <br /> ..r <br /> Sample type.w - <br /> Sample ID z .Lab ID# ' <br /> Date Time p ` <br /> Grab Comp Matrix Type Size <br /> J F ' <br /> Remartzs. r�y>! . <br /> f <br /> Remarks <br /> i <br /> Reiinqu' ed b (S' atuJ4 Date Time Rec ' d by(Sign r D to Time <br /> Reli qutsh y(Si nature) —4.-G <br /> a:u. <br /> g Date Time Recety (Signature) ate Ttrue <br /> Preservative Matrix <br /> Q-4°C ©-HCL ©-NaOH Q-Na2S203 Q-HNO3 @-H2 S O4 9-0ther Drinking Water Waste Water®Hazardous Waste(Water) ©Soil/Solid <br /> Site Time: Driving Time: Time Mileage <br /> Start: Finish: Total Hours; Start: Site Arrival: <br /> x2=Total: <br /> Turnaround Time ❑SEandard ❑silver Rush ❑Gold Rush ❑Platinum Rush ❑Other: Approved By: <br />