Laserfiche WebLink
(�`1l�Ui 7MTPL17CHAINWFSTODY RECORD <br /> DEL-TECH GEOTECHNICAL. SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAB. INVOICE TO % <br /> OFFICE (209) 847-8757 1 b 62 `- f <br /> FAX (209) 847-7744 RECORD __]_OF PH # DAM ) f4-7 V15ti <br /> CLIENT / CONSULTANT: G- �.O #!INVOICE# <br /> T1-'� ANALYSIS REQUESTED SITE SAMPLE MAP�4� <br /> PROJECT I SITE NAME F WY� �� (ITEMIZED A CHECKED BELOW) mwT To ccAur PRTH <br /> _ U <br /> a <br /> STREET CITY STATE i o M w � <br /> r Wo (D <br /> o <br /> CD � <br /> { H w m N <br /> 1�3" HIP VIA m o z couj <br /> SAMPL RINTED SIGNATURE) 1 AY$ILL � W co O 4 CLQ <br /> [7 0 of ¢ a= l+C,l�-i`l' <br /> NUMBER 71WTE) <br /> Mph a z t., x CC LL1 o D o v <br /> SAMPLE LOCATION DATE TIME of a a- a° F- -S -T N �fID6xTIFIC4TION) AfMJDAJII � TRIX F- 1- m Co m coo h R fARKS/ SPECIAL INSTRUCTIONS BELOW <br /> }) " i1 w L <br /> 2) <br /> 3) ?� <br /> 8) <br /> 9) <br /> I <br /> Gr ? <br /> f, 1 � •+S4i1rP16 IhTEGRITI/CONDITION&TURNAROUND TIME •• <br /> / 7 RFCMED COLD&INTACT i 1Fti �11' NO <br /> IN ISHED SY NATUML ATE!TIMh.1� ECCIVEO B1 6Ir a rn xx, ATE!TlhlE PRESERI ATI1 ES U51ip YES .V f NO <br /> C USIOM SEATS INTAL r YES NO /// N1A,�-j <br /> AIR BUBBLES IN V OA S r YES ) NO {/J LINE N <br /> INQUISHED B1 aicruna ATE!TI&f RECh1VED B1 jcmnw TF!TIME <br /> Y9/� TURN AROUNDTIAfE CIIECAUNF I <br /> RF. Qi.[Sfi ED B1 6.�TURu <br /> ,h!T 1r �" ECF <br /> 4L4�[iKf1 R}' 1rb�Ti�n9Ar6 r r ATF I TI1sE �1 24 HOUR As HOUR 5 DA% �la DA1 <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAPS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGEMENTS ARE MADL <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND BLUE ICE AS SOON AS POSSIBLE THANK YOU DEL TECH FORM C O C <br /> D I r 1 1 r 1 1111 1 V V 11 T 1 h , i ih C min) ! Yr 1Iwl P.mrn to Ch nt "ITh R(,idT� <br />