Laserfiche WebLink
-• .. _ ._:. ...,. Re ort# 24 -7 ,— U b <br /> GeoAnalytical Laboratories, Inc. Lab p <br /> Regulatory Wes ❑ No 8i21���5 <br /> Zia 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (Z©f o�7-5—_ <br /> Client: jAP AE m/L CHAIN OF CUSTODY Fax: <br /> Address: P„ To: <br /> City zip 9j'a2 Y� <br /> Project ID - Lab Use Only <br /> ti� <br /> (Print ame) <br /> Sampled By cc <br /> (Signature) Container ci <br /> Sample type Lab ID# <br /> Sample ID z a <br /> Date Time Grah Comp Matrix Type Size <br /> 53— 197jO/tel /!-st11G .% x Remarks 22� <br /> od <br /> Remarks <br /> An <br /> Relimpished by(Signature) Dal finx Receive by(Si 1 ure) — Dat Time <br /> S f-e ,' <br /> Relinquished by(Signature) Date ',�'little Recei d (Signa re) lJ late Timc <br /> Preservative: 1Q-4°C Q-HCI Q-NaOH Q-Na2S203 Q5 -HN @-H Q-H2S 04 ®-Other ®-Other <br /> Site Time: �yf /D ��� Stan: 15me: a /j7�11 HOU <br /> W Stan: Site Arrival: x2-- <br /> Start: y <br /> Finish: Total Hour: <br /> /j"� 2 5'�,OLL(,�S Approved By <br /> Mileage: •, <br />