Laserfiche WebLink
GeoAnaltical Laborato ies Inc. <br />y <br />2300 Maryann Dr Phone: (209) 669 0100 <br />Turlock, CA 95380 Fax: (209) 593 2212 <br />Client: San Joaquin Environmental Health Dept. CHAIN OF CUSTODY <br />Address: 1868 East Hazelton Avenue O EDF O EDT <br />City Stockton, CA Zip 95205 O FIELD LOGS <br />Lab Report # A4F2412 <br />Regulatory ❑Yes ONo CC: ❑Yes O No <br />Regulator: <br />Phone: ( 209 } 669-0100 <br />Fax: ( 209 ) 593-2212 <br />Original To: info@geoanalyticallab.com <br />C.0 To: <br />Project ID TA#197479 Production Car Care <br />Container <br />�°- <br />o <br />o <br />z � <br />rn <br />Lab Use Only <br />Sampled By <br />(Print Name) <br />Jeff Wong <br />Lab ID # <br />a> <br />py <br />(Signature) <br />Date Time <br />Sample type <br />Sample ID <br />Grab Comp Matrix <br />Type Sae <br />6/18/14 1608 <br />Entrance Trailer -East 1 Gallon Jug <br />t; 4 oz jar <br />1 ✓ <br />-04 <br />Pink -Cleans <br />6/18/14 1615 <br />i Entrance Trailer -East All Supercleaner <br />Gj 4 oz jar <br />1 ✓ <br />-05 <br />;. White Powder <br />Relinq is d by (Signature) <br />Relingr�isbrd by (signature) <br />Date <br />t� 25 iq <br />Date <br />Time <br />Timc <br />Received by (Si ure) <br />�� 1��- <br />Received W(SignawW <br />Date <br />Glu y <br />Date <br />Tirrx <br />o u ? <br />Time <br />Preservative. <br />®4°Ma Mx <br />C®HCL�IaOHO Na2SzOa ®HNO3 O -H S 04 O Other Drinking Water ® Waste Water QD Hazardous Waste (Water) ®SoiUSolid <br />Bailers 55 Gallon Drums <br />Pump Truck <br />13 <br />Time <br />Mileage <br />9/21 <br />Apprr,ved By. <br />I <br />