Laserfiche WebLink
-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB.TRACwNG <br /> RECORD OF ' _ DATERECIEVED: --- //--=---`--`•�- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE TO: ------------- ----- - <br /> N'U ---•-•------^---- <br /> 10624OLiVEAVEE,OAKDALE,CA.95J61 �� ` <br /> OFFICE-(209)847-9757 �8�5�FAX -(209)847-7744 PH-A ( __). _—____._..__..CONTACT: ------ ___---_--------------____ <br /> CALIFORNIA CONTRACTORS LICENSE R 657366/CLASS"A"ENGINEERING OB 8 .______—______.INVOICE0-__—___—__.—_______P.O.M ---------------___.-----------------__. <br /> LAB.ANALYSIS REQUESDD SITE SAMPLING MAP <br /> CLIENT: ANN G WA ICONSULTANr: D(R �q' <br /> SITE NAME: C PROJECT: U,-5,T. <br /> nRFss: X1 3 E , LOIA1 CITY: sT.: �C -a x c <br /> SAMPLER SIGNAT�U�yyR��E:���������--�� V p $ r m <br /> SHIPPED VIA: l I*s1t I"`� ✓ WAYBILL <br /> ANALYSIS BY: 1�r-'^'— TURNAROUNDTIME: F rrjp nAYS m m ao >. W F - <br /> SAMPLE I.D./ DATE TIME CONTAINERS TYPE MATRIX REMARKS/LAB. LD. <br /> - 8 3 <br /> 1149 66e. $o►L <br /> Tle- I <br /> 4.) <br /> 5.) <br /> 6) <br /> 7) <br /> 8) <br /> F 9) <br /> I ) <br /> 11.) <br /> 12.) <br /> 16.) <br /> P I5) <br /> BYL Q-A Rr�rvmex-. d �1 SAMPLE INTEGRITY CONDITION <br /> RFI.Wpl19♦IIJ : lJ /- <br /> 1 RECEIVED COLD&INTACT / YE NO <br /> _PE3J.vQuly®aY �/ ��ci n� RCgry By / /7/G% ABt HUBBIES IN V O.A'S / YES NO I LINEIS 6- <br /> !� � CUSTODY SEALS INTACT i YES ( I NO I N/A <br /> A / / ( DA1£ITA1E <br /> RFa.wpns,un ax: If <br /> Rrgrvtn exPReSER4nrrves USED / YES I I No <br /> / IsgNATURq / TYPE OP PRE5ERVATfVEi5L_ <br /> NOTE: PLEASE ARCIIIVE THE SAMPLES SUBMITTED FOR TILE PULL HOLDING TIME ALLOWED,UNLESS OTTER ARRANGEMENTS ARE MADE. * (M.TB.E.,TA.M.E.,E.T.B.E.,D.I.P.E.,T.BA.) <br /> B.B.=BAILER BLANKS COLLECTED IN 47IE FIELD. FB.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-FIELD COPT' W'II1TE&I ELLOW'-TO IAB,WITH SASIPLES YELLOW RETC'RNTOCLIENTWITHRESULTS DEL-TECII C.O.C.FORM 98 <br />