Laserfiche WebLink
ahok-,I--& 6 <br /> C9 go - <br /> -- ANALYTICAL REQUEST I SAMPLE CHAIN OF CUSTODY-- LAB TRACKING a ---------------_--.Y <br /> RECORD L OFI non 4 DATE RFCIFVF.D <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO --- 1 �.... "*'� �.. <br /> 10624 OLIVE AVENUE,OAKDAI,E,GA 9536E � <br /> q ..J.PC <br /> OFFICE-9)091-17-8757 pA <br /> FAX - 847-7744 <br /> CALIFORNIA CONTRACTORS LICENSE#6S7366 CLASS"A"ENGINEERING PH 4 � + CONTACT <br /> ONTAC..T' .....�..•.�Y^.�.,.+ <br /> .-`... <br /> "" �"l ,I'Ill�,i, d "'`� "' n 1 !iI i ,i;'Ip'�`1i a l+ I II, LAB ANALYSIS REQUEMD(!•LEASE PRPP - -`SITE SAMPLING <br /> ' ,� �� , � � ''I'IMAP <br /> CLIENT :a Lu CONSULTANT of t;wl LL tNoana� <br /> SITE NAME ` ��GI PROJECT �/ y--y_y` <br /> ADDRrM �1 N I VR Lt i cny �aT*, 2 .5T 1 r ��q <br /> SAMPLER SIGNATURE �� T �` <br /> yy <br /> 5� <br /> SHIPPED VIA � WAYBILL 4 <br /> ANALY515 BY <br /> TURNAROUND TIME � DAY(S) V1 <br /> SArHPLElb I DATE TIME CONTAINERS TIPS I MATWX J�I'd� Ali i'�I i '1! II ��� "I;!{II �I� l�i�l REMARKSILAB I D #IS <br /> �L <br /> 2) <br /> 3) ILLY <br /> a) <br /> i <br /> 6) <br /> 7) kk <br /> 8) I <br /> 9) <br /> ro) <br /> �'12) <br /> 1J) <br /> 14) <br /> !S) <br /> RoiSIGNs�nBt y �� t�tb� RSIONA BY <br /> LMEJ ' ME SAMPLE INTEGR177'ICOND177ON 1 <br /> ATI IsrGrvAri r ' 1 III DI RECEIVED COLD A INTACT! vEs✓ No E <br /> n�rE r'nr.� <br /> RE1IWQt1lsriEb gt I� RECENEDUY D �Q AIR BUB@LES IN V OA'S !YO NO L[NEfS a <br /> 51GNA7t1RE1 CttSTODI SEALS INTACT /)EST No I NIA r <br /> ATE17IME <br /> REIINQUISFIE.6 BI DATE 171ME <br /> RffiEMM"I MP.SERVATrVES USED / YES NO f <br /> fStGNA71MEt <br /> NOTE PLEASFARCHIVPTHF SAMPLJ'_ C"1pMrnTr)FOR THE PULL H01OINGTIME A[LOWED UNLESS OTHER ARRANOWNTSAPE MADE <br /> B B =BAII rR Bi ANKS('0111( 17 1)IN 1111 PI-1 D I B =FIELD BLANKS COI I 1(71 1)IN TI[1"1101 D <br />