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Client <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address 991b 1- RcPP � `T <br /> Geotechnical Support Services (please print) Phone No. <br /> Proj. MgrJContact 9 3 911 <br /> 10624 Olive Avenue <br /> Oakdale Calif. 95361 Pink• Field Copy <br /> White and Yellow-To Laboratory with Samples <br /> (209) 847.8757 Record o1 Yellow-Return to Client <br /> PROJECT/SITE NAME: 3a,�'I E , YYl A,\1J ANALYSIS REQUESTED <br /> 1 <br /> PROJECTICONTRACTIPO NO: �p q o '9� <br /> S1 LL Or 'TU Z.L1 t`.I� � � b .kms �. ��/ F <br /> NAME OF SAMPLER; qo n Fb� (v — - RFMARKSISPECIAL INSTRUCTIONS • <br /> J w o qo A& <br /> LAB USE ONLY S MPLE u m NUMBER <br /> M a OF I� v 'C.T 7 nf�q�COMM.D. I-D. TE TIME O m CON f� QZ '�/ L 4 h\ V D UU7aU111 <br /> O 0 TAINERS <br /> 1/rPfa'C>✓ o� b 'y � 1 -'+^ r'�rrr EP'"":"t� �/ <br /> TK 2 VIMT 1 1 -ti Z lye Z �� rJ 1 tIL�L - <br /> eQ.ess <br /> \a---31079 --..._ ..I <br /> 31080- —_ <br /> 31A)BI -sem z <br /> I <br /> 31082 <br /> q I <br /> RELINQUISHED BY SIGN DAT (TIME RECEIVED BY SIGN l 31083-- --i RECEIVED FOR LABORATORY <br /> \cei C-'$.ts•s3 w DATEITIME <br /> 1084----- 'a: <br /> 31085 ?LD AND INTACT OTHER PRESERVATIVE DYES XNO <br /> uutHER: <br /> a TURN AROUND TIME: ` ' <br /> SHIPPED VIA: ❑FED X CUPS 24OTHER:Urc<� . SHIPPING ORDER NO.: 024-Hr 02-Day C5-Day 0-Day <br />