Laserfiche WebLink
�r r r r r r r■r irk r rr r <br /> Lab Re r! DGeoAnaIytical Laboratories, Inc. <br /> "Now.— Regulatory �a►-�l " I <br /> r <br /> ovee 01va <br /> a 1405 Kamm Avemm Mone: (209)572-0400 Regulator: <br /> M Modesto,CA 95351 Fax: (209)572-0916 <br /> .i <br /> Phone: { ) <br /> Cticot:_Wrigl�t �K�rirow�t+�t�� -- CHAIN OF CUSTODY Pax: { <br /> i <br /> Addm s, Ta. <br /> City Zip t <br /> P►r�'acI ID 05D E ,� J Ab Use Only <br /> i (Pn Name) �a o '`] M •�`' � ' O <br /> 5ampkd By C <br /> ti Container 's` <br /> Seunple type <br /> Sample aD x K 4 v Lab ID 0 <br /> Dale Timer MWAX TY,•. sift a <br /> a9 t '� So i - - t� x 2 f R nnarics (o,,� <br /> hi 9 ! 9 z3Q ✓ ��� S4`�" , axe- t X / f <br /> � I <br /> d, I <br /> LO Reaur><s s T- <br /> Lose <br /> 1 Q <br /> 1540 I ;,m�wR <br /> . , Dawe rme <br /> Relequt+hed Ly i3izu�url Dfmc lime Received by Isiv www) Time <br /> ",3 <br /> UD <br /> Q, me <br /> Q, <br /> fPreservative: (D-4°C ®-HCI (D-NaOH @)-Na S O (D-11140 @-H S Q-Q1ber <br /> � : : s , 2 O� �3}-Other <br /> DFiv4Mrrw:�te Twe: <br /> «.i 1"'I <br /> SAKI: F isk T�ol�l Flom: slur Sik Aid j XN <br /> MIL-" : Approved By: <br />