Laserfiche WebLink
-- ANALYTICAL REQUEST I SAMPLE CHAIN` OF CUSTODY-- LAB TRACKING # ------------ - <br /> RECORD OF �`/ .1/-2 2 a fQ DATE RECMTED <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOI To <br /> �. - <br /> 18624 OLIVE AVENUE,OAHDALE,CA 95361 �'(} ')[7�(]�T -- <br /> 1-2sk L------ <br /> OFFICE-(209)847-8757 `�rpC ( ��-� <br /> FAX -(209)847-7744 PH.# `�—'l—��--1—CONTACT —,..Q , <br /> CAL]F'ORNIA CONTRACTORS LICENSE#6573661 CLASS 'A ENGINEERING <br /> OB# INYOICE,i ---P O # <br /> 11�1111�111 IIt lfl,'j y4R11''I IIII II '11`11j I I#C1 ErlElrl!" 'I lhi 111111'11 °illi� 1, !3 1, Ifi'I 1 Ii'l a,1il Ilii 11',11 a ilii P h li'I It1i, 1 Ilil,,,I �1f]' ,I 111 LAM A.NALYM RE <br /> „111,1,1„Ir dl, ! II a161r1111'i1Jd 1,1'11,1,,1,r1,,) ,II I„r1111111, , ,11111111 i 111 Ilii 111,,r<Illn,,,,, 11 1,1111 Illljlllll 111111,1,x,11 I'Illlis l Ill, 111,,,1,, ,II,I,IEI L.I. p SITE SAMPLING MAP <br /> CLIENT CONSULTANT h <br /> SITE NAME .� r r1 PROJECT 3 �, <br /> ADDRESS !1 CITY ` ST y, O <br /> SAMPLER SIGNATURE m - <br /> 4 a <br /> SHIPPED VIA WAYBILL <br /> I <br /> NALYSIS BY r TURNAROUNDTIIKE �" DAY m a'a 00rMAP <br /> SAAfPLELDI DATE 77b1E CONTAINERS TI'Pls MATRIX llllii lillilil Iliilllll iillIiI1 }cliilllREMARKS/LAB.I.D. <br /> fs <br /> 7) } ., <br /> 9) }— Kj 1 <br /> lo) +- y <br /> IEJ , <br /> 12) <br /> 13) <br /> 14) <br /> l5} ' <br /> DATE I TIME <br /> RII_wpvrsr ]o sI I 1 : ��„ RECEIVED eY ,?,d } SAMPLE INTEGW TY/CONDITION <br /> f L [S)ONATURS r yG r7 RECEIVED COLD&FHTACT/ YES ( } NO ( ) <br /> A DATVJ TIME <br /> RQ.PIQUISI�D 8t <br /> 111",4 <br /> /1140RECETV D a) C `�(� AIR BUBBLES IN V O A S ! YES J NO LIN S NitslcNa tTJR� �c 1'3 , CUSTODY SEALS INTACT ! YES 1 NO ( } N/A t6/ Oil 1 <br /> DAUE)TIME DATEITOAS <br /> Atl.1NQU1S}iFD e) RF�IVED Bi PRESERVATIVES USED ! YES NO ( <br /> I (SIGNATURE) / TYPE OV FRUERVATTVE(S) <br /> NOTE PLEASF ARCHIVE TIFF CAMPITS SURMCE-fl'F)F)R TNF FUl F IFC)[[)IN( TIMF AU(IWEV IfN[ISl,OTIII-R ARRANGE'ME'NTS ARI,MADF (M T 131: T A M Y I,T 8 F D I P F TBA) <br /> BB =BA[[I_R B[ANKS(()I I.FC'CI_D IN [}If EZF[ [7 1 B =1[El I)BLANKS CUE I 1 CI 13)IN I III 1 II 1 1) <br /> PINK FIFLDCOM WFIFTFI4%EII0%', TOI.AB WITHSAMPLES 1l'IID1Y R6'I'1,11INTOWE,NTWITHRESUITS DH TFCLI( Ol 1•ORm9S <br />