Laserfiche WebLink
m m m m m m m m i I71a <br /> GeoAnalytical Laho atories, Inc. Lab Report # - <br /> Regulatorys ❑ No CC: es L7 No <br /> 1405 Kansas Avenue, Suite "A" Phone: (209) 572-0900 [[ <br /> Modesto, CA 95351 Fax: (209) 572-0916 Regulator: <br /> --— — — — --- - ------- -- Phone: (:?OF) <br /> Client: C CHAIN OF CUSTODY Fax: <br /> Address: .�_ Zi l To: <br /> City C L c.4 zip 253ZI ai JASchJ C45MM4A.[ <br /> i2 I (JYI t '� <br /> Project `7-[D Ql� / �5 Z� � Lah Use Only <br /> (Print Name) <br /> Sampled By ' <br /> (Signature) C� <br /> Container03 <br /> a' <br /> _ w <br /> Sample tyt)e <br /> Sample ID a Lab ID# a <br /> Date Tithe P <br /> Grab Comp Matrix 04 <br /> Size 04 <br /> Remarks: L <br /> -d -- <br /> /L <br /> Remarks <br /> Relinquished by(Signature) Dale Timc Recti} d bf(signatu a -- IT to Time <br /> Relinquished by(Signature) bate Time Receiver y(Signature) <br /> we Tinto <br /> – – <br /> I V—eAo Wative - Matrix - -- <br /> Q-4°C ©-HCL ©-NaOH 10-Na2S20a Q-HNO3 Q-H2 S O4 &Other Drinking Water kwWaste Water 4=Hazardous Waste(Water) ©SoillSolid <br /> Driving rime: � <br /> 7111" hlilcage <br /> Srar[: Finish: rola!Ilours: Start: Site Arrival: x2-Tutal: — <br /> TuroaruundT ine ❑Standard OSilver Rush ❑Gold Rush 0111atinum Rush {]Other- 4�Approved By; <br />