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DEL-TECH <br /> SAMPLE CHAIN OF CUSTODY RECORD <br /> Geotechnical support Services (please print) = <br /> PM1. MgrdC,4i t 4.erI L b tWP14 <br /> 10624 Olive Avenue <br /> Oakdale Calif. 95361 Pink-Field copy <br /> White and Yellow•To Laboratory with 5amp1e5 <br /> (209)847-8757 Record of J— Yellow•Return to Client <br /> PROJECTISITE NAME: �;�,�� I Z, ANALYSIS REQUESTED <br /> Sltr., , l �. t����1 mak► L <br /> PROJECTlCONTRACTIPO NO.: y <br /> JA <br /> REMARKS/SPECIAL INSTRUCTIONS <br /> NAME OF SAMPLER: ` <br /> r r <br /> LAB USE ONLY MPLE a m NUMBER <br /> LAB E.D. i.D. ATE TIME O CON• <br /> (J 0 TAINERS <br /> r <br /> .3 <br /> 08MAJD <br /> RELINQUISHED BY SIGN DATEITIME RECEIVED BY SIGN DATEfnME RECEIVED FOR LABORATORY <br /> ' t`13as 1s*�! <br /> (SIGN): DATElT1h+lE <br /> .rJ <br /> RECEIVED: <br /> COLD AND INTACT OTHER PRESERVATIVE OYES )Rt0 <br /> ❑0TH ER: <br /> TURN AROUND TIME: <br /> ......., -r n v r,110a -;<OTW1✓a• SHtPP1N icR NO.: 0124-Hr :�1-Day Mr.-Day Day <br />