Laserfiche WebLink
SAMPLE CHAIN OtkUSTODY RECORD <br /> ftEL#-41ECH GEOTECHNICAL SUPPORT (PI EML PRINT) Lab. Analysis by : Z 1ks5 <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 �_ � LAB. INVOICE 10 . k4 <br /> OFFICIO: (209) 847-8757 LZ 3 2, 1 a <br /> F•AX (209) 847-7744 RECORD OF PH.# A T ) <br /> CLIENT/ CONSULTANT: P 0 #/ INVOICE; # <br /> � <br /> r� y1v' ANALYSIS REQUESTED SITE. SAMPLE. AIAP <br /> PROJECT/SITE.NAME. � `l� l t W 1{)`� (iTLAHZED ANV CHLCAED BELOW 1 <br /> 1v1IRi'll <br /> STREETEL w C roe CITY F—�A STATS, `+4�r ► {'� <br /> -L <br /> SAMPTEED�1�RE) N k <br /> 1 � `� � <br /> TYPE ` `Ix 3 La <br /> SAMPLE LOCATION I)A7ibEAYBILL <br /> SAAIPI F. �""` <br /> r 11u N11trc AT1OA i A1Te uM 1r GRAB aR AMTRIX cvroslrl ! RLMARKS1* SPLCIAI INSTRUCTIONS h-IOW <br /> B�r�nK- <br /> 2.) YVV-0 �r -2, Al t-j/ <br /> 3) 4 c3 <br /> 5 I h-Ati Q S <br /> �- IL- <br /> 7) D L <br /> �) Z <br /> 7) <br /> 8) <br /> 9) <br /> I ) <br /> QTti a SAMPLE 1A7ECRITI!roNW10N s TURRARO n ITME 00 <br /> V KE1 EI%FI!lot11 i INTACT ! 1FS 40or NO <br /> ELI tED Bl ar e. r PATE I TIME 7DkEtk111DB1 6k k4vaE. DATEI TIM11E PRLIFR\ATI\LS tl%pD ` 1Es I • NO <br /> C1'STODl SEA 1 C INTA1 T !!�•I S NO { NIA <br /> AIR KIBBLE%IN 1 O A ♦ 1 l L% NO LINE 0 <br /> EE.INQLI5HFL Bl ar ren�rt, ATE t TIME E(Ell EU Bl af..n.n�ru ATE!TlM1IE <br /> T(RNAROI\D P1A1E fUL(AO%L <br /> ELIN(?1rr511ED 81 Rr wi we [)ATE/TiME LC )'EDB G <br /> "r"; nen naE A E!TIA e 7� IIOLR 40 1111UR ( DAI { ' 10 IIAI <br /> \OTE. LARORATORI' SAIIPI N ARCHIVING WILL BM 30 D4YS I'ROH THh DATE SA\1111 F WAS COI I KrH),t\I 1•bS OTHER ARRAI\(,E►11'\r5 %RL MADI, 5}±�7 <br /> PI f:ASF' RF ft)RN I)LI -TFCH'S 1(-E tHt-Sf A%I)BI UE ICI,AS S(K)N AS POSMBI,Is rHANK 1'O[ <br /> RECEIVED L UHRCH EOR\1 [ (►( <br /> r <br />