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f �1r!ll-t r_7 1 � ( -_s• <br />{ -- <br /> ANALYTICAL REQUEST/SAMI'I,E CHAIN OF CUSTODY-- LAB.TRACKING 9: -------------------__---- <br /> RECORD OF J_ DATE RECIEVED- � <br /> LAB.INVOICE TO =--------.�_.----------------......--- -----------���.� . :. <br /> DEL-TECIi GEOTEC_H__NICAL SUPPORT SERVICES <br /> � � -7 � <br /> 10624 OLIVE AVENUE,OAKDALE,CA-95361 ---.1.1---- ------------------��---- -� ----,_— ` ..:-----•-.- <br /> OF'F'ICE--(209)847-9757 <br /> FAX -(209)847-7744 PH,# (------- ---------------- -CONTACT: -- -.._... -- --------•----- - " -------- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A".ENGINEERING - <br /> -----—-----..._—..__ <br /> LAB.ANALYSIS REINVOICE - ---- - --- ----- <br /> UESTED <br /> ! i rl i r f <br /> Q ——SITE SAMPLING MAP <br /> CLIENT:do \j 3 l <br /> CONSULTANT: ; rW m tr+on <br /> SITE NAME: � IMV-.� PROJECT: (a <br /> 01 <br /> ADDRESS: CITY: T476IN ST.: (A O <br /> F <br /> SAMPLER SIGNATURE: ' �� L_ <br /> kJ Q "�j `�' n cfq m m <br /> SKIPPED VIA: WAYBILL#: <br /> ANALYSIS BY: . � ; TURNAROUNDTEUE: DAYS ' w <br /> SAMPLE'I-D:# DATE. TIME CONTAINERS TYPE MATRIX �����i •��{i 1 ar �� .rm� 'Iri i :{irn ;sir 'EE`ii�[ RE�'�RES I LAB.I�. <br /> 1.) �n �a, 6'11 o S-IW <br /> 3.) t vv.1 & t ! b� 6 Ig I <br /> 4') 4 7F S l <br /> 9) 1 L7a� s 1, 5x5 ' :9�e� 5 . kF" J <br /> 014 kil <br /> i 1EJ <br /> E 12.) <br /> 13.) <br /> 14.) <br /> x . <br /> 15.) <br />' REl nvol�lsl>fiD$Y_ - AECE[YFD BY; f f-- SAMPLE INT EG�4I ICONDIT ON <br /> NA <br /> IS10NA311RL1 REC$IVED COLD&INTACi !YES ) NOfRELINQUISFIEDBY: / RECEIVEDBY: j j AIR BUBBLES INV.O.A.'S ! YES NO LINES #- <br /> CUSTODY SEAL5INTACi' 1 YES'( ] NO( N!A t <br /> A r a RECEIVED BY: PRESERVATIVES USED ! YES NQr -(SIGNATURE). .. .i� m TYPE 01,PWRMA=5. � ._ <br /> NOTE:PLEASE ARCHIVE THE SAMPLES SUBMITTED FORTHE FULL HOLDING TIME ALLOWED.UNLESS OTHER ARRANGEMPNTS ARE MADE. (M-T$-E.,T.A.M.E.,E.T.B-E.,D.I.P.E.,T.B.A.) <br /> B.B.—BAILER BLANKS COLLECTED IN THE FIELD. F.H.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-P111.I.0 COPY WHITF:&'L-ELLOW-TO I.AIH.WITH SAMPLES VELLOW-RETURN TO CLIENT WITH RESULTS DEL-TEC'II C.O.C.FORM 98 <br />