Laserfiche WebLink
Geological Technics Inc. <br /> 2741 Kimr:Qpad y <br /> Modesto,Cafifomia 95351 ��tt <br /> (209)538-6424/9j2rN 538-5852 <br /> Project# Client/Project Name <br /> Q CLA v y Laboratory Name &Address <br /> Site Address7 '5 11 __� <br /> G� tiT \ V-� <br /> Sampled by: (signature) U <br /> p <br /> Date Sample I.D. z° <br /> Remarks: <br /> >7- 7r; - 7_ X _ <br /> _ ! e, S� <br /> Li I Z- �/ ` <br /> 17 - 1 ; <br /> I <br /> Relinquished by: (signatttuure) Date/Time Received by: (signature) PLEASE RETURN SAMPE£CONTAINERS Remarks: <br /> q ' hed ature) Date/Time a etved by: (siIV tore) CC: —I— Y 1 V V Ct <br /> /STD � � � ! �� <br /> Relinquished by.�signature) Date/Time Received by: (signature) <br />