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, -- I SAMPLE CHAIN O USTODY RECORD 0,�CSO %v <br /> EL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAB INVOICE TO <br /> OFFICE (209) 847-8757 <br /> FAX (209) 947-7744 RECORD__J_OF PH.# <br /> CLIENT / CONSULTANT; Z lffio,► P O #I WVOICE# <br /> 6_1W) �xs SITE SAMPLE MAP <br /> tt � ANALYSIS REQUESTED <br /> PROJECT/SITE NAME: ITMI 1 (lTEMIYED AND CHECA ED BELOW) PM to sacs (NORTH) <br /> W 2 V7 V Y � CRP <br /> Q��l •7 a mm M.i V Q 9 V)— q <br /> S7 O ! �+ �.I�J� <br /> CITY STATE o o�cc a 3 <br /> Wo ¢ G d <br /> ( c Fn o w O LU <br /> 14 <br /> ca <br /> HIP VIA m Qo ¢x m 'ter VG. <br /> SAM 03 <br /> (PROffM SIGNATURE) AYBILL o F o <br /> ac <br /> cc <br /> cc W = W <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SMP z = a x a o o ca <br /> (H>BNTIFICATlON) A17>TJDiAY1YR HOUP/rHIN OF (CRAB OR MA7RI.Y d 1L o N N Fes- <br /> anxruxErrs wAtrDSITE) >— r— m m co m } REMARKS/ SPECIAL INSTRUCTIONS BELOW <br /> I) 3 tib I L L" <br /> 2nM6 'D Z <br /> 3 <br /> 3) h33 i <br /> 4) <br /> s) — Z j t4yIrl 6ILL " <br /> 6.) — Zvil 59 Z gk <br /> 7)YWIAJ W I TXt 1 a , <br /> 9) 194-7, t <br /> 10 WvW - I $ r7 Z It i <br /> SAMPlE 1NTEGRlI1/OONDITION 6 TURNAROUND TIM16E; <br /> RECEIVED COLD&LNTACI' ! S ES NO <br /> PJUQ NFD BY ar [, DATE/TIME kD !� ECEIVED Bl mcmwax, ATE/TIME PRESERVATIVES USED jkQLI ES NO <br /> CUSTODY SEATS INTACT ! YES NO N/A <br /> AIR SUBBLES IN V O.A'S I YES { NO i/! UNE F <br /> QUISHED BYewwnnt ATE!TIME 1VE0 Bl 0FG1AiUt, ATE/TIME fff <br /> TURNAROUADTIME CHECK ONF <br /> % <br /> �� 4 HOUR 48 HOUR DA] } 10 VA) <br /> R 1AlQL1`HED$l ar vnnoc� ATE!T1T1F_ �C} ECEII ED BY LIIISORA TO t� Knott n�n��o nMF, ATF!TIME <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAYS FROM THE DATE SANIPLE WAS COLLECTED,UNLESS OTHER ARRAIN'GEMENFS 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 I White & Yellow - To Laboratory with Sample,, 1 Yellow - Return to Client with Results <br />