Laserfiche WebLink
GeoAnalytical Laboratories, Inc. Lab Report# 12,0 <br /> Regulatory es E3No CC: Yes 13No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: <br /> Modesto, CA 95351 Fax: (209) 572-0916 <br /> Phone: ( ) <br /> Client: CHAIN OF CUSTODY Fax: ( ) <br /> Address: 13 EDF 13 EDT Original To: .3 1 <br /> City Zip 0 FIELD LOGS C.0 To: <br /> Project ID s - i yt� Lab Use Only <br /> (Pont Name) `c <br /> Sampled By <br /> (Sinature) <br /> g Container o Q' <br /> V ti cq <br /> H <br /> Sample type o G Lab ID# <br /> Date Time Sample ID Tyz <br /> Grab Camp Matri Pe Slee Remark, <br /> Q+ <br /> o S <br /> Z7 <br /> Remarks <br /> c��t ' 00 56lq& (ad00 sTt , .itll, l2oN rrta`i� ''4 <br /> R linqui. 1 ,igngWreat Time Received Iv 5 alure ate Time <br /> ^l bu—� .10 fff ; <br /> Relinquished by(Signature) Date Time Received by .(ure)V I Date Time <br /> O � PresOervati 2e z e© a O 2 a —� 9 ® matrix® (Water)4 HCL NaOH Na S O -HNO -H S O Other Drinkin Water Waste Water Hazardous Waste Water SolUSolid <br /> Pump Truck Time Mileage <br /> Bailers _ SS Gallon Urums 0 <br /> Approved By: <br /> Tur nammJ Time ❑SlnnJarJ ber RUSM1 I:uRI RuaM1 elnllnum RusM1 OIM1er <br />