Laserfiche WebLink
GeoAnalytical Laboratories, Inc. Lab Report# O 3 <br /> Regulatory ❑Yes ❑ No pajx_ <br /> 1 105 Kansas Avenue Phone: (209) 572-0900 Regulator: �, Jd a- �- <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: ( 7e-7) ' ?9�(0 <br /> Client: L - I/,j G CHAIN OF CUSTODY Fax: ( ) <br /> Address: 20 c%D O e a,l6 o au R j 50,JZ-0- q oo To: <br /> City U0. l 12 , CA Zip (TS4,8-) <br /> Project ID 5 kA(A RP C 3 rcl -Ir 4:-6A- Lab Use Only <br /> (Print Name) <br /> Sampled By <br /> (Signature) C Container <br /> 0 <br /> Sample type 0Lab ID# w <br /> Date Time Sample ID �O a, <br /> Grab _Comp Matrix Type Size <br /> Z :</S & - 4 5 a )((o Remarks <br /> 8 ' 5o PL -,Z c.-4- 3' [�'` t �o�q <br /> 6) .' 00 PL-3 a+ 4/' ('04 I <br /> 9 : 05 P'4-S/ �1- 5` < `{ <br /> 9 - 3-7 PL-y <br /> io 09 R4-/0 L 3 ` `Ir <br /> /0 : k/3 <br /> Remarks <br /> Relinquished by(Signature) Date Time Ye <br /> ed by(Signatu ) Date Time <br /> /o <br /> Relinquished by(Signature) Date Time ived by(Sig cure) Date Time <br /> Preservative: 1Q-4°C 0-HCI 3Q-NaOH @-Na2S203 Q5 -HNO3 ©-H,S 04 (D-Other ®-Other <br /> Site Time: <br /> Driving Time: Total Hours <br /> i <br /> Start: Finish: Total Hours: Std: Site Arrival: x2= I <br /> Mileage: 216 77 i IQ2- .41_'_ � --- Approved By: <br />