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-- ANALYTICAL REQUEST/ <br /> SAM CHAI 9904000746- DEL-TECH-SVC <br /> RECORD 0_10F -" "-- <br /> LAD INVOICE TO ! `r' - -+-�-_76Z ------- ---- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES 1 <br /> 10624 OLIVE AVENUE,OAIO?ALE,CA 95361 - - u -� �,�..^-, T. -0-t- <br /> I <br /> OFFICE-(209)847-8757 �} __._�I <br /> FAX -(209)847-7744 PH# (. ---)--��� �ONTACT ------Ob --- =j-= - --- <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS 'A' ENGINEERING <br /> mill __..................I DICE#-------_--__.._....__—.....PO # --------------____.......--------- <br /> �'iiill�!!11111"�I fff I X11'111! Ip�61�1 I �1�III,1�'IiLllil I I��dlll l,rJffi€fl,l II,I' I;1 liflElll��I��I'pIb 11,`1`11!�I16�ili rill!1101 I;I "Iii;11111�11,I I 'I'�1,1111��'11iI1'i I����111111�11��i1€ 11€� LAIL ANALYSIS REQUESTED SITE SAMPLING MAP <br /> , � (lpR7Ii1 <br /> CLIENT' CONSULTANT �+ <br /> SITE NAME ` PROJECT r <br /> ch o-i � of I <br /> ADDRESS CITY Troya0 �, <br /> � F r✓ <br /> SAMPLER SIGNATURE p e o go <br /> SHIPPED VIAWAYBILL# G7 A m g 7 <br /> pWp,, W d < $ d @ F <br /> ANALYSISBY TURNAROUND TIME DAY i� E+ W W allo W W <br /> 513 SAMPLE LD I DATE TIME CONTAINERS TYPE MATRIX I j i' I€ilii Il,lll q,q 1111' ,1 I1 1 1I���f 11 il�I VIII" "IIII REMARKS I LAB ID <br /> 1 I I� IT ,IIIA U I,Id „ I u 1 <br /> - ', <br /> 151P ( 0 °lS <br /> 10 5) J Z S <br /> 6) i5 1 �1 <br /> I II 7) 'L <br /> NAI- 2 tn t I <br /> IZ 9) fnj —j ( 0S 3 Q <br /> `� 'Wn 0 <br /> Io, <br /> oq <br /> 7 It) <br /> f 12) 0 <br /> E3, I c' <br /> 14) <br /> 15) <br /> RELINouuHEDBY l� RBCEPiU)BY DATEITPAE SAMPLE INTEGRITY/,CONDITION <br /> 11112 (SAINA7llRE) RECEIVED COLD&INTACE I YES !/} NO ( } <br /> A DATE f14ME <br /> RELINQUISHED Bi RECEIVED B1 AIR BUBBLES IN V O A S ] YES ( NO LIN S N <br /> r (SMATV E2 )CUSTODY SEALS INTACT I YES { NO( } NIA f ) <br /> A ogTE rT1ME <br /> AELINQVISHED B5 RECEIVED B) /j � PRESERVATIVES USED ! YES NO ( <br /> r {siavglu I O V <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (ISI T B F,T A Al E F T D E D i P i• TBA) <br /> B B =BAILER BI ANKS COI I FCTED IN 7 HI'FIELD F B -FIELD BLANKS COLI(;CTi'.I)IN I I II I IhLD <br /> PINK FIFLD(OPI WH[TE&A ELLO%% TO 1 AB "ITII SAMPLES %ELI OW RETURN TO(LIFNTM ITII RESULTS DT•I Tt CII( 0( NORNI96 <br />