Laserfiche WebLink
V <br /> Lab Report# <br /> GeoAnal tical Laboratories, Inc. <br /> y Regulatory ❑Yes ❑ No <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: � •" <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: ( 7v7 ' 7 q 9 <br /> Client:_C A L - 11UL, CHAIN OF CUSTODY Fax: ( -707 ) <br /> Address: 2040 pcs"',3010y 2O Sc„¢,� �lCo To: <br /> City (--, Zip 9.5(ag'7 <br /> Project ID SIl/9RP6 3r a- F61- Lab Use Only <br /> (Print Name) <br /> �16f! <br /> Sampled By <br /> (Signature) ContP.ainer w <br /> All <br /> 0 <br /> Sample typez Lab ID# w <br /> Gra <br /> Date Time Sample ID <br /> Matrix Type Size p <br /> b Comp Mat <br /> Z S 9 <br /> 10,'5.5 ✓ 1 5 QG —S" Remarks <br /> t0 :'13 SPG - �/ `uao �1 <br /> /0:S0 SPc 3 \ QIALVa <br /> 00S <br /> PG -L V 4`_ <br /> D 7-G <br /> A-7 ` <br /> Remarks <br /> Relinquished by(Signature) Date Time ec ivgd b (S' n r Date Time <br /> z �� l , <br /> 2 s z <br /> 9 9 � ao r ;� 2 ,1 <br /> Relinquished by(Signature) Date Time eceiveJ by(Sign ure) Date Time <br /> Preservative: 1Q-4°C 0-HCI (@-NaOH &Na2S203 & 03 0-H2SO4 70-Other 0-Other <br /> Site Time: Driving Time: Total Hours <br /> Start: Finish: Total Hours: Start' Site Arrival: x2= <br /> Mileage: 4/& rn;/eS TOT.gL Approved By: <br />