Laserfiche WebLink
-- ANALYTICAL REQUEST I;AMPJIVFHAJIN OF CUSTODY- LAB.TRACKING #: ------------------------ <br /> RECORD OF DATE RECIEVED: 9,51-00 <br /> • LAB.INVOICE TO: --�. _ �.....-----------�--------.�.---------......................._.--------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES f� } <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 5n__I. --- - --- •^-GDI- ---- - -------------- <br /> OFFICE-(209)647-8757 ,jq C <br /> FAX -(209)847-7744 PH.# ( -=--}--- 91..CONTACT. •-----.I...__.._.. � .........� �-------------- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ---------------------INVOICE#----- ------------------- .O.# -------------------------------------- <br /> u1,1;1 II Iui111 1. ! n I 1113 I 111,111,III!,II 11'li, I!1 ; € If , , , I,3 ' m LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> 3e'ai ,1 u. j1' <br /> CLIENT: CONSULTANT: 66 L L ��l R r x <br /> SITE NAME:Q � P K �► -PROJECT: O 1 O�M `i Is'►w( i cc <br /> ADDRFSS:3{�S.e . � CITY: , 0 ST.: O <br /> SAMPLER SIGNATUREba� L p o m o o krku).Z. 1 <br /> 00 <br /> WAYBILL SHIPPED VIA: <br /> ANALYSISBY: NDTE%IE: <br /> DAY ili000 <br /> SAMPLELD.0 DATECONTAINERS TYPE MATRIX REMARKS/LAB.I.D. <br /> W., �' I <br /> 3.) YWA <br /> 4.) <br /> L) _ Z <br /> b., w_ -2, 13 S c <br /> 7.) - <br /> l2.) <br /> 13.) <br /> k4.) <br /> f <br /> 1 S.) <br /> Rrz neoulsHEn By.; IIA <br /> 3 RFCEkNFp st: r/ f!y = EtTODY <br /> SAM LE INTEGRITY!CONDITION <br /> (SIGNATURE) f E]VED COLD&INTACr!Y8S } NO { } <br /> A _�QUI�DBy; % RECEfYFABy': BUBBLESINV.O.A.'S ! YES NO Ll S #- <br /> SEALS INTACT 1 YES (4, NQ ( N/A f ) <br /> { A DATE(TIME <br /> RELINWISHm BY: RECEIVED BY: PRESERVATIVES USED I YES r!NO <br /> ! (SKINA'IL'RE1 J �+' <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME.ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T.B.E.,T.A.M.E.,E.T.H.E.,D.I.P.E.,T.B.A.) <br /> S.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B.=FIELI)BLANKS COLLE(717)IN THE FIELD. <br /> PINK-FIELD COPY' WHITE R YELLOW-TO LAB.WITH SAMPLES TFLLOW-RUURN T(1 CLIFNT WITH RESULTS DEI,TE('11 C.O.C.FORM 98 <br />