Laserfiche WebLink
Lab Report# +�'�" <br /> '� 35 <br /> o�ries Inc. <br /> �.�._ _...� GeoAnalytleal Labor Regulatory Yes Cl No y <br /> {209) -0900 "/ <br /> Phone: 572 <br /> C© <br /> 1405 Kansas Avenue Regulator, <br /> Modesto,CA 95351 Fax: (209) 572-0916 iSy g, q Z 5-a <br /> Phone: 0W .-- <br /> G CHAIN OF CUSTODY rax: (20 ) <br /> Client: To: ! -----��� <br /> Address: �2 7 <br /> '� G C'/f Zip <br /> City ,� Lab Use Only <br /> Project ID <br /> a � � <br /> (Prim Name) VtC_ C � V <br /> Sampled By Container { <br /> (Signature) o q. Lab ID# a: <br /> L <br /> Sample type <br /> Sample ID •1y11e Size <br /> Date Time Grab Camp Matrix Reritarks <br /> i <br /> i <br /> i <br /> I <br /> Remarks <br /> Date "Iim,e <br /> Date 'fin>r lj,E� u• py St ,:i{ re) <br /> Relinquished by(Signaturc) { 'I�1 VL1 <br /> S— 2Uoc) IS ii Late Tiime <br /> Date Tntx: Received by(Sig ature) <br /> Relinquished by(Signature) <br /> ®-Other <br /> Preservative: 1Q-4°C (2)-HCI Q-NaOH ®-Na2S203 QQ -F ©-H2S Oq 7Q-Other Baa(IluurS <br /> Driving Time: <br /> Site Time: <br /> Start: Site Arrival: x2= <br /> Start: finish: total Hours: <br /> Mileage: <br /> Approved By: <br /> ' <br />