Laserfiche WebLink
-- ANALYTICAL REQUEST/SAME CHAIN OF CUSTODY-" LAB.TRACKING <br /> RECORD OF DATE RECIEVED: ---- ----------------- <br /> i ....---_....---------------- <br /> 1.AB.INVOICETO: ----- --•-��-�5�� ,� <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ............. -------------------------------------------------------------------------------------------------•----------- <br /> OFFICE-(209)8474757 <br /> FAX -(209)847-7744 PH.# (- }......_......... -CONTACT: -- ---- — - •---......... <br /> CALIFORNIA CONTRACTORS LICENSE#5573661 CLASS"A"ENGINEERING <br /> OB# -----------•-•---••---INMOLq#_......--•-------------...-.P.O.# ---------------------------------------- <br /> ?� I u..';1 II, LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> r. .Illr IrcErr .. <br /> --.� <br /> CLIENT: oLk\ikdz <br /> r. rhI�RTiq z- COCONSULTANT: l T-�+tL� F <br /> SITE NAME: OL1J - <br /> PROJECT:: , I l 1 a; t� <br /> ADDRESS: 3a s 1 LAf <br /> O C <br /> SAMPLER SIGNATURE: <br /> a at CID <br /> SHIPPED VIA: L' `� WAYBILL I x $ E �3 <br /> ANALYSIS BY: TURNAROUND TM. DAYS W w aNa k�7 W <br /> SAMPLE I.D.A DATE TIME CONTAINERS TYPE MATRIX ° ;' E,I, E „I .ilkii l� Euj REMARKS/LAB.I.D. <br /> [6) <br /> 7.) <br /> s.) <br /> 9.) <br /> 31.) <br /> 12.) <br /> 13.) <br /> 14.) <br /> DATE I TUOM <br /> RAwovisl�nas: �` REMID , ` ii-aY-S� SAMPLE INT GR1TY/CONDITIdN <br /> I (SIGh: i✓.. - (��� /-�+it����"J �� RECEIVED COLD&1NTACf / YES NO ( <br /> (SIGNATURnr DATE17IME <br /> RELINQUISHED BY: RECEIAlR RUBBLES IN V.O.A.'S !YES NO i51GNA <br /> TVRE) CUSTODY SEALS INTACT !YES 4- ` NO( ) <br /> DAMMK HATE nTME ` <br /> LRE-:LrN4Q%UlSWED BY: RECEIVED BY. PRESERVATIVES USED ! YES 1-NO ( <br /> (sIGNa7VR1) r O V S' v <br /> NOTE: PLEASE.ARCHIVE THE SAMPLES SUBMITTED FOR THE FlJt,[,HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE:- # (M.T.B.E.,T.A.M.E.,F..T.B.E.,D.I.P.E..T.B.A.) <br /> B.B.=BAILLR BLANKS COL.I.ECI'ED IN THF F11-3,D. F.B.=F I.D BLANKS COLLECFET)IN TIM FIELD. ; <br /> PINK-FIF:I CtfPk'c{ ., WHITE&YFLLOW-TOLAB.WITH SAMPLES YELLOW-RETURN'TOCIAF.NTWITIIRESVIAN DEI:TFrHf.o.c.FoRS198 <br />