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Client xY 1k-rA' -1_ <br /> EL-TECH SAMPLE CHAIN OF ISTODY RECORD Address <br /> Geotechnical Support Services (please print) Phone No. <br /> Proj. Nlgr &ntact Xl, <br /> 10624 Olive Avenue Pink- <br /> kM Copy <br /> Oakdale Calif 95361 White a <br /> (209}847-8757 Record of YYeno�w-RReturn to.Client Laboratory with Sample <br /> PROJECTISITE NAME ; a-7 L r I j ANALYSIS REQUESTED <br /> PROJECTICONTRACTIPO NO. � <br /> NAME OF SAMPLER: REMARKSISPECIAL INSTRUCTIONS <br /> LAB USE ONLY SAMPLEa ap NUMBER " <br /> LAB 1 D 10 'DA*E TIME O COON <br /> U 0 TAINERS <br /> > I �� 1� • <br /> -- o �- m �{ <br /> i <br /> REUNOUISHED BY SIGN 1 DATEfTIME RECEIVED BY SIGN DATEfrIME RECEIVED FOR LABORATORY <br /> A '� BY(SIGNp DATEITIME <br /> r <br /> ~_ - RECEIVED <br /> '=LD AND INTACT OTHER PRESERVATIVE,-AYES ONO <br /> ❑OTHER <br /> TURN AROUND TIME <br /> SHIPPED VIA ❑FED X ❑UPS -1jjOTHERM''~-1'--'- _f SHIPPING ORDER NO ❑24-Hr ❑2 Day ❑5 Day --Ik -Day <br />