Laserfiche WebLink
T.. GeoAnatyticul Ila( ratories, Inc. <br /> Lab Report h - <br /> 1405 Kansas Avenue, Suite "A" Regulatory ❑Yes a 41) CC: Ll Yes U No <br /> Modesto,CA 95351 Phone: (209)572-0900 <br /> (209)572-0916 Regulator: -- <br /> C I i e n v <br /> CIienv —_ vTA y ______ -- Phone: (Z 9 c t ----- <br /> CHAIN OF CUSTODY o ) — <br /> Address: Ll 22� � L� ___.- Fax: <br /> City <br /> zips 2/y. Original To: - —— <br /> project 10 0 yg ©� --- — Reporting: 7 EDF ©EDT — <br /> e 9 /yoo7 �o��•b M� -- <br /> (Print Name), ]�7 <br /> Satlnpled By t ,� r ,c� I/ ` Lab Use Only <br /> I --- — Containersample type Time s / <br /> o / <br /> _ Sample Ill d `� <br /> Grab comp Matrix Lab ID 44 <br /> 7Ypt Sire / � <br /> -3 X <br /> --- R12 <br /> ergarkt `Ql0 <br /> ---- Y V/— G <br /> Relinquished b— <br /> ['Yate - <br /> - .^a.+,irs.>_ Timii��tive <br /> d by turc - <br /> Reltnetuuhad by(Signature} __— -- -- �` 1-d } <br /> I Dale Ttnt <br /> --- ---—_ Dalt rune Received by( -` <br /> ____ - Presarvalive --- _�.._. _,...�.._.. _ �—_ ��_ r•aie Ti,�,t _. <br /> 0-4"C ®-HCL NaOH — — r4lornr — 1 <br /> Q-Na,S?0� Q-HNO, 0-H?S Ot Q•Olher - —. <br /> sits Tine _ ---__—490iinking Water t Wasle Water t� <br /> start: -- ----- _ Haza•dous Waste (Wafer) @Soi/Solid <br /> Poral Hour;: Driving Time. ' - <br /> -' - -- -- ----- I Ia1C - <br /> runaround T ax UStandwd27 <br /> Site Arriv;! - / <br /> - x2 Toral; i <br /> Wilver Rush L2Cmld Rush 01`136nurn Rush 170111er. <br /> An i <br />