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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY -- I AB I RA(KIN( a <br /> RI,CORD 01' DATE RECIFVI-I) <br /> 1 AB 1NVUICk TO <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES �J ��� ' <br /> I"24 OLIVE AVENUE,OAI DALE CA 95361 <br /> OFFICE-(209)847-9757 b _ CONTACT -------`�°'�----------_-----_--_-_-_-___-------_�___ <br /> FAX -(209)847-7744 PH# (----- ---) - - <br /> CALWOR7IIA CONTRACTORS LICENSE#6S73661 CLASS A ENGINEERING <br /> 7' ' i e IPI' h'11 I ETI i� li���Ill 1'11,I ii,1 'hip ,fl, {'1 I ' i ' I LAB ANALYSIS REQUESTED SITE SAMPLING MAP <br /> (lA7k'RO <br /> CLIENT frawlL, E J-32r, CONSULTANT Vffrf4 I)-L �? I * <br /> STIE NAME b 6kA G �-Lc PROJECT �-AD cup, <br /> ADDRESS { COY �� D ST + O o w <br /> o d y <br /> SAMPLER SIGNATURE <br /> O ti csW <br /> L 'WAYBn L# <br /> SFIIPPED VIA- <br /> ANALYSISBY �AI�.D TURNAROUNDTDI9E DAY F W w o W <br /> I SAMPLEID/ DATE TIME CONTAINERS TYPE MATRIX �,It q i��j iiI I'I1;T"ul1 I'i ' '"I 1 ''k,+ ii'i �i�i11 'li�� REMARKS I CAB I D <br /> 1a aZ <br /> xatJ 3410 <br /> ,a — Es f Z <br /> 7a rnnr l ` 5 D <br /> $a ) <br /> 94 D <br /> 1�ILL P 22 LTD v <br /> Ila <br />' I7a <br /> Ts.) <br /> 14) <br /> 15) DA7Q 1,IB�SE <br /> ! 1 DZ s�&mvEo BY �� IF, SAMPLE INTEGRITY/CONDITION <br /> xmaaoum�n BY O <br /> Il a ( r( a f ` a D RECEjVED GOLD&INrAcr 1 YFS Nor ) <br /> D A-77iT -ME <br /> mmrvmBy AIR BUBBLES IN V OA'S / YES( NO( LIN S f <br /> RH.C'7QUIg11�8Y <br /> -" O-LAIUAq r CUSTODY SEALS INTACT I YES NO( NIA f M <br /> DATE MME <br /> RMENWIly PRP.SERVATtVES USED I YES NO f <br /> - r ISpHA7UAE1 r V <br /> ?40TE HPASE ArtL}31VE TT3E SAMPLIS SUBMETTLP FOR THY P(7U HOLDING T1MP ALLOWE D UNLISS GTHFR ARRANGINI l')S ARF MAN * (M i 13 1• T A M L 1 7 13 1 II 1 1'1 TBA I <br /> B S =BAILER BLANKS COLEC FD IN THD FIELD F B =FEW BLANKS COLLLCTLT)IN I IIL i-I LD <br /> ofuu crcrnr0Q5 WHIT'F'k1E11f)% TOLAEI WITHSAMMES \E110" RFTURN70(IIFhTUITHNFSI11TS W1 THII( 11( E11HA796 <br />