Laserfiche WebLink
i� t� � � � 1♦ � � � � i))♦ tttttttttB tttttttt� I♦ ttttttttt� � tttttttttt� <br /> Laboratories, Inc. <br /> GeoAnal tical L �� Lab Report# <br /> y <br /> 5 - Regulatory ❑Yes t7 No CC: Q Yes ❑ No <br /> 1405 Kansas Avenue,Suite"A" Phone (209)572-0900 <br /> Modesto,CA 95351 Fax (209)572.0916 Regulator: <br /> Client _ Ems+ ic6N _ )"-) C, <br /> Phone: (g(j) 5L-'I U L 3 <br /> CUSTODYCHAIN OF <br /> Fax: ( Zc,-t ) �� It c z-cr <br /> Address_2n 3 7 VC N G-MAty A\(C _ ` 3 2'-lc) Original To: -6--CC- <br /> city <br /> —>`.:C- <br /> city z,p C\ <br /> Project 1D a Lab Use Only <br /> Sampled By (11m,Name}', yeti �� v <br /> (Stgnatare� Container + T <br /> p " <br /> Sample type <br /> Sample ID z Lab ED# <br /> Date Time Grab comp Matrix Type Size <br /> 3i l"2'1 �C 1l2. t 3ry -� Remarks! Q O <br /> f <br /> i <br /> I <br /> i <br /> a <br /> � N <br /> Rernarta <br /> Relinquished by(Srgpatttre) �IDD71e ti e R ry b natu al Time <br /> L�. l <br /> Relinquished by(Signature) Date Time Received by(Signature) Dak Time <br /> Preservative Mair" <br /> Q-4°C 10-HCL Q-Na0H 8-Na2S203 0-HNO3 0-H2 S 0E O-Other 01)nnking Water oWaste Water®Hazardous Waste(Water) ©So0olld <br /> Site Time Dnvmg Time Time Mileage <br /> Start Finish Total Hours Start Site Arrival x2=Total <br /> Turnaround Time ❑Standard OSilver Rush ❑Gold Rush OPlatinum Rush ❑Other Approved By <br />