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-- ANALYTICAL REQUEST I SA1AffP CHAIN OF CUSTODY- LAB TRACKING # ____...-..__--------- <br /> RECORD OF DATE RECIEVED -f- ----- <br /> LAB INVOICE TO .- � - ------------ <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES v <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 Al -_LAN _f'-,�ft- ---�---M.41-pcou_ <br /> OFFICE-(209)847-8757 <br /> FAX -(209)847-7744 PH# <br /> OCLIENTME <br /> ONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> JOB f ..-...___—.....«.-..-INVOICE -— --LAB ANALY=REQUF.= SITE SAMPUNG MAP <br /> CONSULTANT PROJECT <br /> ADDRESS CITY �, ST <br /> SAMPLER SIGNATURE ) r0 pM 0 F <br /> SIIIPPED VIA C.. WAYBILL# o4- <br /> ANALYSIS BY TURNAROUND TIME S-r, YV D b DAY m <br /> SAMPLE LD 0 DATE TIME CONTAINERS TYPE MATRIX € riE 1, `,r!` ''''! ,' M li'i f!,{i r1 REMARKS/I.AB ID <br /> !' <br /> 17JI11DIOSIS t <br /> 1Q7 r <br /> 3) <br /> 15 V <br /> S' <br /> 7) b A 1307, <br /> I2, <br /> 13) <br /> 1a) <br /> 15) <br /> #D1 <br /> r 'RDAMITtM&LiSAMP EINTEGRITYICONDITION <br /> ! (s1CAU TURF) ! RBCENED COLD lNTACf/YES NO (DAW/TFM6/Y ✓' ' �ivED H i f f-. (j AERDUBBLES1NVOA5 IYES NO LING S # <br /> SEALS INTACTtYES ( NOf NIAfJ A DAM/TRAE <br /> RFIEIVFD6t EaATNESUSED ! YES NO(SKWMATURL) I V S <br /> NOTE.PLEASE ARCHIVE THE SAMPLES SUBMHTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (M T BE TA ME,E T B.E.,D I.P E.,T.BA) <br /> B B =BAILER BLANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD <br /> PINK FIELD COP4 WIHTE&S ELLOtiN TO LAB WITH SAMPLES S ELLOW RFTURN TO CI IFNT W 1TH RF4iR TS RF1.TFrH c In f FORM 99 <br />