Laserfiche WebLink
-.Y <br /> -- ANALYTICAL REQUEST/SAM CHAIN OF CUSTODY-- - LAB TRACKING # <br /> � 4- <br /> RECORD OF � DATE RECIEVED =-� "�---� <br /> LAB INVOICE 70 -- � w? v _ � - •� #��� <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES , x�- <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 _. --! �._ lt .� L _._ _ �- �F~ <br /> OMCE-(204)847-8757 - n Y_' <br /> FAX -(209)847-7744 PH# ( -) CONTACT .--. _ T--------`ZE <br /> ~� <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# I DICE <br /> II IF i I I� II�.'I 1filIII1I� Illil, 3;' I I i LAB.ANALYSISREQUITSTIM SITE SAMPL NGMAP-F `tQLjA' <br /> CLIENT CONSULTANT: <br /> `- SFIfENAME PROJECT J �► ,;_` _ -a" ``�" <br /> ,z ADDRESS QTY. - ST • O <br /> _ d r~ _ <br /> ko"LER SIGNATURE va is _`x_> <br /> Ki Oma• °9 a opo - Y ' - <br /> = S�VIA WAYBILL.# '"••�. V' R ago O w � �s .�� asi Ws <br /> ANALYSIS BY TURNAROUND TIME- DAYS w w _ r j• ' - <br /> ~f�" <br /> SAMPIEID,r DATE TIME CONTAINERS TYPE MATRIX <br /> ' ,I�I� !�I1`� � ''� II I� I '11 ", IREMARKSfLAB <br /> .. to <br /> Duo <br /> s 34 <br /> 44 <br /> 6) <br /> €J A <br /> - 7} - <br /> 9) <br /> 10) <br /> II) <br /> 12) <br /> 13) <br /> 15) <br /> RMINQUts"maY B} [A�Fi DATE IT \ <br /> .R1 } Y! s /I Fr'� SAI E 1 EG 1 CO DITION <br /> �*+ (MINIATURE) f/, <br /> � AB� RECEIVED COLb 8c INTAC7/ YES ) NO <br /> DATE I T ME <br /> RELINQUISHED BI RECEMDBI AM BUBBLES IN V O A'S 1 YES NO( L[N S <br /> (514NAwm I 1EEVATM491 <br /> INTACT' I YES AND ) NIA <br /> DATE 1 TIME <br /> REL[NQIIl51IFDBt REMVEDB5 USED I YES NO <br /> 1 (MNATURE1 1 <br /> NOTE PLFASF ARCHIVE THE SAMPLES SUSMRTED FOR THE CULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (MTBE,TAME,E T B E,D 1 P L,TBA) <br /> B B =BAILER BI ANKS COLI ECIED IN THE FIELD F B -HELD BLANKS COLLECTED IN THE FIELD I <br /> PINK FIFLD(OPI 19H1 FE 1F 1 ELLO1% TO LAB W ITH SAMPLES 1 ELLM5 RETURN TOCLIENTV11111 RESULTS DEL,TLCH C 1)C FORM 05 <br />