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4' <br /> L. <br /> J <br /> t J L ANALYTICAL SERVICES INC. <br /> REMIT TO: LOCATION: <br /> P.O. Box 576185 217 Prima Way <br /> Modesto, CA 95357 Modesto, CA 95351 <br /> Office: (209) 538-8111 FAX (209) 538-3966 <br /> Company Name: (-T F Date Sampled : _ <br /> Contact Person: Time Sampled: k.-A <br /> Sampled by: \ Date Submitted: <br /> System Number: Well Number: -a la v-tI I <br /> Additional Information: <br /> -------------------------------------- <br /> Chain of Custody: <br /> Relinquished by: Received b 5[ <br /> Company- 0 Company: 11Or <br /> Date: i m e <br /> Relinquished by: Received by: <br /> Company: Company: <br /> Date: Time : <br /> Relinquished by: Received by: <br /> Company: Company: ------------- —_--- _-- <br /> Date: Time : <br /> Please analyze for: <br /> Title 22 <br /> General Mineral Analysis <br /> General Physical Analysis <br /> Inorganic Chemical Analysis <br /> EPA 505 and 515. 1 <br /> Other Analysis <br /> Gross Alpha <br /> Uranium <br /> Radium 226 <br /> _v---7)BCP <br /> EDB <br /> EPA 502 .2 (Volatile Organics Analysis) <br /> Isopropyl Alcohol <br /> Carbon Tetrachloride <br /> EPA 507 <br /> _ Nitrate <br /> Potability <br /> ---------------------------------------------------------------- <br /> This section to be completed by JL Analytical <br />