Laserfiche WebLink
_ Client �It�n-� � <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address � � - mss--- <br /> Geotechnical Support Services {please prinQ Phone No. <br /> Proj. MgrJContact <br /> 10624 Olive Avenue <br /> Oakdale Calif. 95361 Pink field Copy <br />� White and Yellow-To Laboratory with Samples i <br /> (209)547-8757 Record of Yellow-Return to Client <br /> 1 <br /> PROJECTISITE NAME: , f� im,��, �d.a ANALYSIS REQUESTED <br /> iLap l <br /> PROJECTICONTRACTIPO NO.: <br /> l L.�. <br /> M&OF SAMPLER: REMARKSISPECIAL INSTRUCTIONS <br /> LAB SE ONLY MPLE a m <br /> NUMBER <br /> LAB I.D. fA. DATE TIME O ¢ CON- 1 <br /> U 0 TAINERS <br /> e { <br /> ung <br /> I Ll <br /> RELINQUISHED BY SIGN DATEITIME RECEIVED BY.LSIGNJ DATEITIME _RECEIVED FOR LABORATORY <br /> e BY(SIGN):.-1-i�-�Ai-I� DATEITIME L� 1 <br /> RECEIVED: <br /> COLD AND INTACT OTHER PRESERVATIVE DYES )(No <br /> ❑OTHER: <br /> TURN AROUND TIME: <br /> f SNIPPED VI FED X ❑UPS pOTHEFI:�±f � - SHIPPING R NO.: 074-Hr 02-Day 05-Day '}ay <br />