Laserfiche WebLink
�... GeoAnalytical Laboratorit, Inc. Lab Report # <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulatory El Yes ❑ No <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: <br /> Phone: <br /> Client: " S CHAIN O,f Fax: ( } 53 -Z ' 3 Sa Y <br /> i <br /> Adress: `!7 CUSTODY To: (.e� <br /> S zi Eq c Zip C1s3�Z <br /> Project ID '�( S' �� Lab Use Only <br /> S �'� <br /> (Print Name) <br /> Sampled By r ° #ai <br /> (Print Name) Container <br /> Z } y <br /> Sample type a <br /> Sample ID # <br /> Date Time Gab TC--p Matrix nPa � Re ks <br /> 7 1 q l f 5 D wt <br /> z3 p 3a yt,t - I S "r ',t ogir <br /> X171 f s 1,510 w, — g-- 18 ` t l 3 <br /> Meg <br /> 16 t <br /> � O <br /> Remarks <br /> Relinquished by(Signature) � 7/°%t� Time a by i ure) Det TV1 Z4 le, ifge/ <br /> Relinquished by(Signature) Date Time Rec v by(Signatu Date Time <br /> Preservative: 1Q-4°C2)-HCI (5)-NaOH ®-Na2S2O:. (5)-HNO3 ©- 2 04 ©-Others ®-Others <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= <br /> Mileage: Approved By: <br />