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=- ANALYTICAL REQUEST I SAM CHAIN OF CUSTODY- �A» TRACKING #: . <br /> � . <br /> DATE RELIEVED - <br /> -. �y <br /> 0 i �8 LAB INVUICE T[) S.l __ _ s. � <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OL AVENUE OAKDALE,CA.95361 . <br /> dFFI <br /> T-(209)847-8757:,:'. <br /> -" - 4 f <br /> :FAX'.(209)847-7744 s <br /> PILO }�►[f[t CONTACT 5-; - <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"'ENGINEERING - <br /> I! I! , !' I I'I I I f i' !!!!}� I�'l I;IfI !II I!lili� i I I ' ` i!! I�I�! I�'lillll I'I I i'`i�' iIl?I,I: ; i �Ili'!I!I I'i ! ! I !' ! • YSL4 FOB <br /> OICE <br /> REQUESTED(PLEASE <br /> i <br /> CLIENT'r CONSI}T TANT.:' G MAP <br /> PRHrn <br /> SITE SAMFLIN ""�'t <br /> { SIT7:NAME PROJECT- <br /> _a_ x <br /> ,; 5T <br /> y.SAMPL+ SIGNATURE <br /> ..., <br /> 3 f s <br /> •SHIPPED;VIAs <br /> ANALYSIS:BY. .. AROUND,TIME:. - ' <br /> DAY($) <br /> !II!ull SMSPIELD Ei <br /> DAM . _t :'TIME CONTAINERS :- :TYPE <br /> i x <br /> � . <br /> ^G- F <br /> • <br /> sj <br /> } <br /> M:* <br /> 9.7. t P r <br /> 1.0 <br /> 7. <br /> - <br /> r <br /> a <br /> 15) <br /> _ 7 - <br /> IIF3IN011ISIIQIBY! ! °�. ` RF IVFDgY DAIEiTI¢ :' <br /> ,1 (sEGNATUECF) INTEGRITY/CONIJIT701V <br /> DATE/TIME: - 7 -' RECEIVED COLD&INTACC i <br /> RE1>r1QUlSI�BY: E ? MCOVED BY: DATE/TIME <br /> AIR BUBBLES IN V.O.A-'S 7 YPS" NO LI 5 p- <br /> MG A / (S:GNATURP t _ <br /> Qu <br /> 0A EI nME CUSTODY SEALS INTACT I YFS( ) NO f ) NIA <br /> REUNQMIMD BYu RE'CEWED BY: DATE/TIME ) - <br /> PRESERVATIVES USED / YESIRFI <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMII'I'BD FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. J V <br /> B.B.=BAILER BLANKS COLLECTED IN TIIE FIELD. F.D.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-FIELD COPi' WHITE&YELLOW-TO LAIL WITH SAMPLES YELLOW-RETURN TO CI.(F,NT W ETH R RRI II.TS - <br /> hF,E'._TF,CH <br />