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tuenl <br /> % DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address 51:' 6 <br /> Geotechnical Support Services (please print) Phone No /1 ' 414 +p�3 <br /> Proj. MgrJContact V'n14T_L <br /> 10624 Olive Avenue <br /> Oakdale Calif. 95361 Pink-Field Copy <br /> White and Yellow-To laboratory with Samples <br /> (209) 847.8757 Record of IYellow-Returnto Client <br /> IL 11 p q vsssiL , ysss d <br /> PROJECTISITE NAME: 3N^C� "RILL— ti�IL ANALYSIS REQUESTED <br /> b'ER T66 L �Tsc}�n) j. cY� Ay <br /> PROJECTICONTRACTIPO NO.: �eY - - <br /> NAME OF SAMPLER: _ y <br /> REMARKSISPECIAL INSTRUCTIONS <br /> LAB USE ONLY AMPLEL\ d m NUMBER <br /> 6 OF /G (� •C <br /> LAB I.D. I.D. TIME O CON- r <br /> O O TAINERS <br /> 1 , �'ti X y `` i BSP la) _- 61s: <br /> ERS `I `3 �pZ"1 y Ayit l` 34 {3I <br /> `rtcKplc I3 '' � `) I 30131 <br /> RELINQUISHED BY SIGN DATE/TIME RECEIVED BY SIGN DATEITIME RECEIVED FOR LABORATORY <br /> � /U Zl5- <br /> t BY(SIGNi: � DATFriME <br /> — <br /> ', RECEIVED: <br /> COLD AND INTACT OTHER PRESERVATIVE DYESNL <br /> OOTHER: <br /> TURN AROUND TIME: <br /> SHIPPED VIA: OFED X JPS OOTHER: SHIPPING ORDER NO.: 024-Hr 02-Day 05-Day ',Z <br /> not <br />