Laserfiche WebLink
®rte <br /> k n Ww <br /> GeoAnalytical Laboratories, Inc. Lab Report# <br /> /Ilic NF�G Tofu z / <br /> Regulatory Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: 51`7V00'f-& Mj <br /> Modesto, CA 95351 Fax: • (209) 572-0916 <br /> Phone: (20P) .57�_d �s� <br /> Client: 2a}njCl /m 1< f CHAIN OF CUSTODY Fax: (2tjj ) 7 7 LK G'FSSY <br /> S�� �� z <br /> Address: 3 � Cf, � . To:c� T l <br /> city l�e/L6A,/le CX - zip 95 7 S/"� co/�7 ° o <br /> Project ID W�L� W� 2 `�� Lab Use Only <br /> V�~� �P� � <br /> (Print—Na mc) ✓1����U � f <br /> Sampled I3y /� V / <br /> o � <br /> (Signature) Container <br /> Sample type o �\v Lab ID# <br /> Sample ID ` a <br /> Date/ Time Grab Comp Matrix Type Sire <br /> :c9y t1 '�' f'L-�L e Zp S6Jr S. Si> Fc- �J 1. Remarks `` 2 <br /> leza <br /> /0.2 <br /> Remarks <br /> Relinquished by(Sid i_mrc) e Time R c 2 tS .I n e) nDw, <br /> RclinyuisheJ by(S'an; rc) Dale I inre Receive)by(Bien; ire) Time <br /> Preservative: Q-4°C 02 -HCI (@-NaOH @)-Na2S2035&HNO3 ©-HZS O, 7O-Other ®-Other <br /> SneTime / \V / L/ Drivine Tune: lolal LHours <br /> Stan: !Q0-S Finish: l - U Toni HOUrS: 1! /�r E Sian: Site Arrival /� s2= � �ty /'//2 . <br /> NTileanr: �� 2 % 2 Apm-oved Rv: _-- -_ - - <br />