Laserfiche WebLink
GeoAnalytical Laboratories, Inc. Lab Report# - 2 <br /> 1 C4 NNW 1F)F9 to <br /> 22 Regulatory El Yes ❑ No CC: Ll Yes D No <br /> 1405 Kansas Avenue, Suite"A" Phone: (209)572-0900 <br /> Modesto,CA 95351 )~ax: (209) 572-0916 Regulator: r� . <br /> Phone: (Mr-) <br /> Client: 4 -T{ k e8+ p-w�Ses CHAIN OF CUSTODY Fax: (2(f ) <br /> Address: •&1X 7 r 3 r) _ Origins!To: l L <br /> City , c k iTl') zip �I tr "C) "S_5 Reporting: ❑ EDF ❑ EDT <br /> Project ID r Lab Use Only <br /> (Print Name) <br /> Sampled By 'l 1. ' ULjCk l � <br /> (Signature) Container Q� I <br /> / NJo v I d <br /> Sample type o 1� Lab ID# W <br /> Sample <br /> Date Time Sle ID N <br /> Grab Comp Matrix Type Size <br /> 2 <br /> - Ut Q - X X Remarks�N Jt 9Sq <br /> iZ-JS-Cif r oc L Y I JN3Q-9w <br /> i <br /> i <br /> Remarks <br /> Si Relingyi a T <br /> nature - Date Time Received (Sign tore) }2 rDat _2 me <br /> AA <br /> i 1 <br /> Relinquis ed y( ignature} bate Time Recei ed {Signature} Date Time <br /> Preservative Matrix <br /> Q-4°C Q-HCL Q-NaOH Q-Na2S203 Q-HNO3 0-H2 S Oq (?-Other Drinking Water OWaste Water Hazardous Waste(Water) ©SdYSolid <br /> Site Time: Drivin Time: Time Mileage <br /> Stan: Q, Finish: Total Hours: /;I��Start: g ?,e7y �'.Tife Arriv �i 7 x2--Total: <br /> Turnaround Time ❑Standard QSilver Rush ❑Gold Rush stinum Rush ❑Other: Approved By: - <br />