Laserfiche WebLink
-- ANALYTICAL REQUEST/SAMP C iAIN OF CUSTODY— LAB.TRACKING �f l.............._.__.....- <br /> RECO ► ` 1 <br /> RD OF m� , . o BATE REC[EVED <br /> LAB.INVOICE To: .. L .... !I� -� _ <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES Qq ""'•"-- j 1 ""-..... <br /> ................ <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ...... <br /> FAX -(209)847-7744 PH.# <br /> oFFrcE-(209)847-8757 � . <br /> q <br /> (--�--1--Y�•--- ,�'co ACI': - --!�� *:.:..!�__.__-----------------. <br /> CALWORNIA CONTRACTORS LICENSE#657366/CLASS A ENGINEERING <br /> j!d I l m .-..-._. _ —— - ----- <br /> os# ----3.1 <br /> -I O�#- ..--P.O.# <br /> LAB-ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT: coNsuLTANT. 550'TWLL F.061NEEPUA as <br /> SITE NAME: t�WEST' BNA PROJECT': G71 V s rYM jTaf_.I N tle' <br /> ADDRESS: 4 CITY. L-.ITD 1 BT.: F3 <br /> SAMPLERSIGNATURE: ppri LL{ N--T C ci CD CD <br /> ' SHWPED VIA: DeLC'_* WAYBILL#: Q $ m $ <br /> ANALYSIS BY: CT's u AROUND TIME DAYS $ ,'` x 1� <br /> SAMPLE Ln•+ DAr� TIME CON7AIN6RS TYPLc MArRIx I ' REMARKS/LAB.I.D. <br /> 3 Z I Lz k%-TD -b-,D ) <br /> 2., 1\ o V <br /> 3) 1 k) 1� 1 <br /> v 01- <br /> 4) _ 17- 11 <br /> 7.) M f✓t7 s i �a <br /> 8) 3 D U TRE <br /> �.) tfb p <br /> 30.) O ? � Q1L1 <br /> 11.) <br /> 12) Liz w 6� ��1�-'U Ii <br /> 13.) <br /> 14.) <br /> A DA lTIME <br /> Rn zNousst>ED ar: '� El <br /> Rr�IVFnar. I 9 SAMPLE tN EGiu /CONAITIUN <br /> Tm Es�NATt�I / RECEIVED COLD&INTACT! YE5 NORELINQUISHED a1': �' RE�.1VFn aS �`^�f � AEit Bl3BBLE5IN V.O.A.'S 1 YESNO LIN 5 11A <br /> y (SIONATTIREj CUSTODY SEALS INTACT / YES NO( 1 NIAA DATE/TIME <br /> RELlriQ[;ISk{�Dal': � RECEIVED Bl" . <br /> PRPSERVATIVES USED 1 YES NO <br /> :1 (SIGNATURE) I O V <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUB4IITTED FOR THE FULL HOLDING TIME.ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. �` (\I.T.B.E..T.A.,%I.F:.,E.T,B.E..D.I.P.L..T.S.A.) <br /> B.B.=BAILER BLANKS COUEC'I ED IN THE FIELD. F.B.=FfflJ)BLANKS COLLECTED IN TI LF FIELD. <br /> PINK-FIELD COPY WHITE&VELLOW-TOI.AB.WITH SAMPLES YELLOW-RETURNTOCLIE=NTNTTHRF_SULTS F)F1,TE:CIIC.O.C.FORNI98 <br />