Laserfiche WebLink
:7 <br /> - - Lab Report #WAnalytical Laboratories, Inc. a <br /> Regulatory Yes ❑ Na )F-Nv I;Z-) <br /> 1405 Kansas Avenue Phone (209)572-0900 �� <br /> Modesto,CA 95351 Fax (209)572-0916 Regulator: <br /> Phone. (?,Of) <br /> Client �. CHAIN Of Fax: <br /> Adress CUS TOD Y To: <br /> Lod . <br /> Project ID o — S ,� Lab Use Only <br /> (Pant Namej <br /> Sampled By y �' <br /> (Print Name) Container 0 �Q far <br /> ``�— o Q Lab ID# w <br /> 1 -5W, <br /> Sample type o Sample ID z w <br /> Date Time Grab Comp Matrix (ZANIJ <br /> Type Sixe Remarks <br /> &Y6 1C !O <br /> K r k/� <br /> J z <br /> 11 07 T- <br /> .0100 <br /> ! {f( <br /> f <br /> 12 61 Wr�s •' -31 <br /> Z� <br /> 20 CP <br /> Rem ks Z,Z}/ �p ,� , I ZO$ <br /> Relinquished by(Sig u Da%e� r� Recet Time <br /> �• LLQ <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Time <br /> Preservative 1Q-4°C ©-HCI (3-NaOH Q-Na2S203 ®-HNO3 ©-H2S Oa Q-Others ®-Others <br /> Site Time /// Driving Tim v L Total Hours <br /> Start Finish Total Hours 3/Z Stan 3 Site Arrival x2I`/ f <br /> Mileage: Z= &roved By: . <br />