Laserfiche WebLink
•�_.� p '• Lab Report # <br /> Geohalytical Laboratories, Inc. . <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulatory Ayes E3NoNo L1 61LL� 14ere0 <br /> Modesto,CA 95351 Fax: (209)572-0916 Regulator: czs je.fdu-(n/ <br /> Phone: oorr) al 7- <br /> Client: �! l✓ CHAIN Of Fax: (Zo�) 3 6s -//g-S <br /> Adress: �U /U. CUSTODY To: 1�6Lv>e/niF <br /> zip 9SZr� <br /> Project ID -'f- 7-/eMc it% Lab Use Only <br /> (Print Name) �� d <br /> Sampled By v _l <br /> (Print Name) Container ZQ' <br /> `o Q Lab ID# d <br /> Sample type ^ y <br /> Sample ID �l a <br /> Date Time Grab Comp Matrix Type size Remarks <br /> S-Zt-r?l :O l� K is { <br /> 3:0.5 Ceti n_ de— ' <br /> 2;37 was-f- r// • y a0 G7 <br /> 1 r <br /> 3;tz cti ,EIS ,, - 3a&Z <br /> Z-Y Es C ' <br /> d K 5 /fd-s f a Y <br /> IE /cR � L I <br /> Lrs' c �tF2 L l ts� <br /> R 3: 2 3 Gest b ' /V/L r J�O 6 K3 I <br /> Relinquished by(Signature) �t / Ti�>@ ecc (Signature) Dat <br /> _. J �/ 2 f <br /> Relinquished by(Signatulr Date Time Received by(Signature) Date Time <br /> Presgrvative: 0A°C Q-HCI Q3 -NaOH ®-Na2S203 (D-HNO3 ©-HZS O, ©-Others ®-Others <br /> Site e: ' -! O - Driving Time: 30) 22 Total Hours <br /> Star` ff_: Finish: Total Hours: Start: Site Arrival: x2= 1%�5 <br /> Mileae: +. 2 = �� /e Approved By: 1mr1�� <br /> x: V — <br />