Laserfiche WebLink
• Lab Report#Kd 3 <br /> GeoAnalytleal Laboratories, Inc. Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: 'J6� +'� Co <br /> Modesto, CA 95351 Fax: (209) 572-0916 <br /> Phone: ( -7e-7) yy(o - egg 6 <br /> Client: (2A L - CHAIN OF CUSTODY rax: ( ) <br /> Address: 20'VO 0eoz b0C1 L. t2 5v {'-2 4too To: <br /> City 1/-n.,-r , L l -e , C A Zip TS4'S 7 <br /> Project ID M(a R?C 3; -� �, { Lab Use Only <br /> L <br /> (Print Name) <br /> Sampled By /c��,�,p p _i�,e v,u' o ,-Iy .� <br /> • (Signature) C Container <br /> Sample type <br /> .` Lab ID# d <br /> Sample ID z so <br /> Date Time crab omp Matrix Type Size <br /> vt X,p Remarks O a28 <br /> q 00 P1--3 a+ <br /> 3 -3 q 4- <br /> 33 <br /> Q ' 29 P/-- 7 L <br /> 9 , 3-7 P/--T ` 10 <br /> 9 17 9 S • 9 `�- `{. <br /> Remarks <br /> Relinquished by(Signature) Date Time r/ix ed by(Signatu ) Date <br /> i Time <br /> Relinquished by(Signature) Date Time eceived by(Si9/`ure) Date Time <br /> Preservative: 1Q-4°C 20-HCI 3Q-NaOH ®-Na2S2O3 Q5 -HNO, ©-H2S 04 7Q-Other ®-Other <br /> Site Time: <br /> Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start: Site Arrival: x2= 7 3 yz <br /> Mileage: o i QZ, les Approved By: <br />