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^ <br /> � <br /> ~ =~ \ <br /> ! <br /> J LANALYTICAL SERVICES, INC. J <br /> REMIT TO: LOCATION: � <br /> P{l Box 519 85 217 PhmoVVuy � <br /> Modesto CA 95357 Modesto, CA 95358 <br /> ' �� ( S) 8811 Date Sam�����S)�� ` <br /> Company Na///�'�~ ~ ~~ ' _ _______ <br /> - Time Sampled : <br /> Contact Person Date Submitted : <br /> Sampled by: _�����_ - _ <br /> Well Number: <br /> System Number: <br /> Additional Information : --_. _ <br /> Chain of Custody: <br /> Relinquished by: Received by: <br /> Company: Company: <br /> Date: Time: <br /> Relinquished by: Received by: <br /> , Company: Company: <br /> Date: Time: <br /> ================================================================ <br /> e'�Z q'�n/-� v�' 5 <br /> Please analyze for: ���140 <br /> - ' Title 22~~--- <br /> General Mineral Analysis <br /> General Physical Analysis . <br /> Inorganic Chemical Analysis <br /> ' Nitrate <br /> r ---' <br /> Coliform <br /> DBCP (EPA 504) ' <br /> EDB (EPA 504) <br /> wr Total Petroleum hydrocarbons <br /> -�- <br /> Oil and Grease <br /> EPA 601/8020 / <br /> -_-................... <br /> -__- __-_--- <br /> ` <br /> _--_ <br /> ____ Gross Alpha <br /> Uranium <br /> EPA 502.2 <br /> EPA 505 and 515. 1 <br /> EPA 531 . 1 <br /> EPA 547 <br /> EPA 507 <br /> .Y <br /> .............I................... ........� <br />