Laserfiche WebLink
- L <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB TRACKING # --------------------.- <br /> RECORD _ _ OF _ DATE RECIEVED --__--___----.------------- <br /> ` <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO,{ �7 � - qt <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361To 1 <br /> OFFICE-(209)847-9757 <br /> FAX -(209}847-7744 pHs 4 - CONTACT- ----- --.__ _ <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING �w _x <br /> OB# -_------------------INVOICE# _PO # - f3 <br /> LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT CONSULTANT �1 (r�T Y <br /> ' S NTPE Am >t PROEECI ■ k i ` <br /> -_- ADDRESS - CITY b ST <br /> SAMPLER SIGNATURE: `- - O I� <br /> G a ca F. <br /> - <br /> SI�pYIA = WAYBILLccT_ <br /> ANALYSISBY:��� - OAC -r 7TPE CYw� a ' <br /> DATE ?lMLO�ERS h4ZRXII REMARKS/ <br /> �� ? <br /> LAB.I.D E^� <br /> 2.) 4IV <br /> -_� 4) sY-G� <br /> } <br /> r. 7) <br /> f 4771-1 <br /> Jh <br /> - <br /> 1:45imm <br /> BECEtYFD BY m - E _DA ! c Y l <br /> SAMPLE LN TEG RITY I CONDITION <br /> fsioNATVREi , <br /> RECEIVED COLD&INTACT/YES ZNdf- r - <br /> � A Rklp(QULIIIED aYR6 <br /> [F1Vib <br /> : By _=- w z e ti !TATE - - ^- - <br /> -�e- ,Y -�:�y - _ _ - _ _ _-..--t•-N- - --_i�_ - 'R AIR BUBBLES IN V OJ1'S !YLS NO LI~ It- <br /> is, <br /> CUSTODY SEALS INTACT !YES + NO{" NIA- <br /> A <br /> .. DALE/TUWE k <br /> 11 RECP]VFDBT - Z w`r -s PRESERVATIVES USED—IJ-YES -NO f� <br /> `�•Y`� Baa- - - -�. rr.' -�� ^ _ - - _ - �- - <br /> �"F,,,, ! - •(SK$FKIL7RE)P � <br /> VJI <br /> OTE Ea7�RCHIVETHE SAMPLES SUBMITTED FOR THB FULL.HOLDING TIME ALLOWED^UNLESS OTHER ARRANGEMENTS ARE MADE _ i ) - <br /> �-���. �� �. - -�- � - - _ - (M T.B_E>TAME,E.T.SB.;D I.P.E,T.B.A' <br /> W& R� _.BAILD7 8I AAIKS CQL�ECIED IN_TFIE FIQ D_ r p g=FTEI.D BLANKS COLLEGTID IN THE FIELD <br /> Y <br /> ..rr ` `llr:s -DIN1C:A1RI.f1 f'[lPl Y _z W111TF'.h�'RI TI3A'.Tff I►A,.WI77/CAMP1 FC M ` ,. _- _arca►nw ocrnou ern r���an��uriru nccrrr arc _ r.cr �r.rr r.n n r..o..�e <br />