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0 SAMPLE [.;HMN U ' CUSTUDY REUUKD <br /> 4 t O(L-TECH GEOTECHNICAL SUPPORT (PLE PRINT) Lab. Analysis by : <br /> 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAB INVOICE TO <br /> OFFICE (209)847-8757 1 tg,)—,+ WIE: ) <br /> FAX (209) 847-7744 RECORD—1—OF PH # 7 7 <br /> CLIENT/'CONSULTANT: vmuTA5 P.O.#I INVOICE# <br /> m� r ANALYSIS REQUESTED 1 SITE SAMPLE MAP <br /> iPROJECT/SITE NAME �; � ► (TIENIZED AND CHECXBD BELOW) C•• ° (Noxr11 <br /> t3 <br /> o mcccc <br /> a <br /> LSrnEr �' G+ ,CITY. I'�"� �1� STATE 6A I c ag in a � <br /> Y CD <br /> 7 0 � 0 <br /> C) LLI <br /> �u <br /> CC) O w Q -LU <br /> -I m <br /> b*THIP vu _ z m <br /> SAMPLER (p slr�+uTURe) AYBII.L 53 <br /> a 0.11 a cc w <br /> CD o w = <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE c� o x o d o c3 <br /> OF (GRA$OR 1 pr Zy d d d N N J <br /> (mRNrtFrrATfoN) MramAr/nG sous/Mr � •4 Rt% F i-- co co m m REMARKS/ SPECIAL INSTRUC77ONS BELOW <br /> 12 a <br /> I) D <br /> 3) <br /> 4) ) 7,. <br /> 5)YWAJZ <br /> 3) aP <br /> 8) <br /> 9) <br /> fr n Q 7 SAMPLE INTEGRIT]/CONDITION d TORNARO1 1-71 LI"1 RECEIVE)COLD&INT�A(:'E_ t !ES NON UISH ruTv�e ATE!T1ME11;� ECEIVED BI ,s�caut[mu ATE!TIME. PRESERVATIVES USED lES � NO <br /> CUSTODY SEALS INTACT I YES NO NIA <br /> AIR BUBBLES INV OAS ! YES } Na LIM1E N <br /> ISHID BY aw !T1ME EC BS ,stcnan , ATE!TIME <br /> TURN AROVA7)TIME CHECA ONE <br /> 7 7T11-71 <br /> R 1NQLIr ATF!TIME 21 HOUR 48 HOUR IA] 10 DA] <br /> SIIU ECEII -D BYLABORATOR) <br /> r <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAYS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGEMENTS ARE MADE. <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND BLUE ICE AS SOON AS POSSIBLE THANK YOU DEL-TECH FORM C O C <br /> Pink - Field Copy / White & Yellow - To Laboratory with Samples 1 Yell6w - Return to Client with Results <br />