Laserfiche WebLink
Ge®Anal fncad ILaboratoiri es, Inc. I.nb Report 3 N <br /> Rectory Yes O No [oR i N <br /> 1405 Kansas Avenue Phone: (209)572-M Reguk:ter• LO <br /> Modesto,CA 95351 Fax; (209)572-0916 <br /> Client: W RtGU7— ,'u(ItjZntymg u+AL- CHAIN CUSTODY pal: Qo9 ) <br /> Adr�ess: (0 7 E /O�`� 5�`- To: '� W <br /> City _ G T1 Zip — - k�1 <br /> cn <br /> Project ID 4_z &* -- ,�SG�Ad C.4 - [,ab Use Only r <br /> CD <br /> (Print Name) <br /> JZ,<vo <br /> Sarnplxd By WAt4 - taQ1 <br /> (Signature) Va <br /> Contaener <br /> Sample type % @ 1 Lab w a , <br /> Sample ID h; <br /> Date Tune C zb Cam Matelot i p t Sros <br /> 5 as isJAY6 A I <br /> NX <br /> Z z_ I i <br /> /OZa I o <br /> SD <br /> Z <br /> D <br /> H <br /> C) <br /> D <br /> r <br /> F <br /> D <br /> Remarks <br /> S P <br /> ftckngzi0=d by(StVL41 se) r e Tiaet Received (Si ) Vw <br /> Time <br /> fWiegeid=dby(Si3='=z) Tiara Tin= <br /> D <br /> Preservative: Q-4°C Q-HCI O-NaOH Q-Nai2S.Os (9-HNO3 &HzS 04 0-0thers @-Others m <br /> Sit:Tim:: D DrivirtT Ti 31r� <br /> ,� TCLd Hours CD <br /> stat F16.h: 12-, Tod Homs: � '�� st=n: sit:Mrivat: U :Z= � , WRY <br /> Mileage: �.Z_�Z = ��_ Approved By: <br />