Laserfiche WebLink
Lab Regort �—C�� <br /> GeoAnal tical Laborafries Inc. <br /> y <br /> Regulatory Yes E3 No CC: 'Yes ©No <br /> 1405 Kansas Avenue Phone: (209)572-0900 Regulator: �/ /� GL��t1 <br /> Modesto, CA 95351 Fax: (209)572-0916 <br />' 7 <br /> Phone: {Z,Cy ) -57 •---Zl ' <br /> Client_ K o /� CHAIN OF CUSTODY Fax: (Zol } 7 <br /> Address: '7 -5 7(� *- DF E3 EDT Original To: � <br /> City C4, Zip t j 5�73-- 7 .FIELD LOGS C.0 To: <br /> Project ID ��Iil h Lt Lab Use Only <br /> (Print Name) <br /> Sampled By rL g y Axa ' <br /> v <br /> v <br /> (Signature) Container <br /> ILA <br /> N <br /> Sample type ample ID o <br /> Date Zlille Comp Matri ape S1ze <br /> Grab Remar K :=e <br /> /Cyt z 10a g <br /> T�Zt ALA, <br /> �t <br /> --------------- <br /> k er <br /> Remarks �� a <br /> Relinquished by(Signature) j Date Time Received by(Signature) Date Time <br /> �612 <br /> Relinquished by(Signature) Date Tim Received by(Signature) Date Time <br /> f <br /> Preservative: Matrix <br /> O4°C©HCLONaOHO Na2S203©-HNO3 O-H S 04 O-Other • Drinking Water Waste Water CD Hazardous Waste(Water)OSoil/5olid <br /> Pum T kTime Mileage / <br /> Bailers 55 Gallon Drums—__ – — Kr <br /> Approved By: <br /> Turnaroundrim ❑Standard ❑Siker Rush []GoldRush Qmaiinur.Rwh ©Other <br />