Laserfiche WebLink
GeoAnal tical Laboratties In Lab Report# <br /> y c. <br /> Regulatory 0 Yes 0 No CC. 0 Yes ❑ No <br /> 1405 Kansas Avenue, Suite "A" Phone (209)572-0900 Regulator: <br /> Modesto,CA 95351 Fax (209)572-0916 - <br /> F Phone. <br /> Client , T s CHAIN OF CUSTODY Fax: <br /> Address _ _ �� i Original To: <br /> City Reporting: 0 EDF 0 EDT <br /> Project ID Lab Use Only <br /> (Pn Nate) <br /> Sampled By <br /> v <br /> (Si <br /> Con <br /> Container o sw <br /> Sample type o v, <br /> Sample ID <br /> Lab ID# d <br /> Date TIIile Grab Comp Matnx p Type Size py <br /> RemarksBzw 14o <br /> o <br /> I I , <br /> 1 <br /> 3 <br /> } <br /> i <br /> � t <br /> F—�)LtA <br /> /k OU <br /> Relinquis y(Sin a Date Time Rent ed <br /> (Signa re Date Time <br /> zz-©3 v iS3 <br /> Reim ed by Signature) Date Time Receiv ignature) Date Time <br /> Preservahve Marra <br /> Q-4°C ©-HCL ©-NaOH Q-Na2S203 0-HNO3 0-H2 SQ, Q-Other eDnnking Water SWaste Water 4WHazardous Waste(Water) QSoVSolid <br /> Site Time Driving Time Time Mileage <br /> Start Finish Total Hours Start Site Arrival x2=Total <br /> Turnaround Time ❑Standard LISilver Rush ❑Gold Rush ❑Platinum Rttsh 00ther Approved By <br />