Laserfiche WebLink
-- ANALYTICAL REQUEST/SAMPLE CH IN OF CUSTODY -- LAB TRACKING It <br />`IIII RECORD OFV..21.�3 G'03 DATE RECIEVED <br /> I � 5 <br /> E <br /> REL-TECH GEOTECHNICAL SUPPORT SERVICS LAB INVOICE TO -- -- - C�� �- �- - { <br /> Io624 OLIVE AVENUE,OAKDAL)v,CA 95361 <br /> OFFICE.(209)847-97S7 n <br /> FAX -(204)847-7744 1 PIl_# (Cq--�n-R-3-5�CONTACI' <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS A ENGQ-iEERING <br /> OB;Y —INVOICE —P O <br /> LML"NIALYM sEQUEMW SITE SAMPLING MAP <br /> C ]ENT CONSULTANT rA <br /> a+a�nm <br /> SrM NAME -�- ^I I PROJECT r 'T <br /> ADDRESS 3 CITY I S7'_C A � � � � O <br /> SAMPLER SIGNATURE , 0 vI <br /> ~ � 1 <br /> SHIPPED VIA WAV iLU# O A aao $ ao aQo <br /> ANALYSISBY TURNAROUND TEK& DAY +" W m <br /> SAMPLE LD i DITE TIME CONTAINERS TYPE h1AT1tIX I���II��l�lilt I Ilii) i��i� i il��� �������` lE��IE� REMARKS/LtiB Y.D. <br /> I) �_ ter <br /> z) � . <br /> d) yy <br /> S) ) — <br /> 6) r <br /> T) <br /> g) <br /> 9) !� <br /> 10) �— <br /> II) <br /> 11) 'Mf — r 1 <br /> 13) <br /> 14) NCOy <br /> IS) l V Tric it �aeA <br /> RF.l,P1pLIt5FiFD B1 '1�� lT1v� 1� � RFCI�n BY f DAM <br /> ��E SAMPLE INTEGaRI rY I CONDITION <br /> i �( 4.�� [` I SSfONA7UREy / CL O RFCEIVEDCOL.D&INTACT I YEAS ) NO ( ) <br /> / 1 ✓ DA 1 T7ME <br /> RELMQNt5NFb ei 'f �� r �� AECE+vEo a5 /�/JJJ ;.��� !'J7 V^f" AIR BUD DLES IN V O A S I 1 BS( NQ 1 L[NE II <br /> ~ J Y//1 � 1 IA,� G lJ�(- �L A►�{ F�f'1 <br /> �� ,S1CNA"IUAq �1-/� ,�¢,., CUSTODY SEALS INTACT I YES y NO ( 1 NIA t 1 <br /> 1 DA IE 1 TU(E <br /> RFL¢4Qru5FtED 90 RFIC✓IVFD a} L=RvATFvFf$IH( <br /> S USED I Y Es { I NO1 (SIONA IUREI / <br /> NOTIF Pl IWtl ARC'IIIVF(Ilt•%AMI'1J S S1.111mrmli)I(IR r111r N(iI I t101 IHN( 11MP AILOWE) UNIT tit 01-111 R ARRAN(NMI NTS AM MAIN * (M r I3 I' 1 A M F I'T B P DIPI, TBA) I <br /> 0b =13AIIIR (31ANKS(()If I (-]11)INIIll 111f1) 113 =Eit_IO[3LANKSCOIfI(-III)IN1IItIll 11) 1 <br /> PINK F1FLIMOPl LV}IiTF tSFil(115 T11IA8WiTIILiMPIFti 1F io" RFTIIRN f(1([IFNTI.SITIIRFtiLiITti [)FI TFCtI( l>l F mm-pE <br /> r <br /> II <br />