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-- ANALYTICAL REQUEST/ 5 1 '"PrE CHAIN OF CUSTODY-- LAB TRACKING 1t ------ ---- ---- <br /> RECORD OF DATE RECIEVED - f - --- ----- <br /> LAB INVOI TO (?1�� _1_:s.�. __q------------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES [ -� <br /> 10624 OLIVE AVENUE,OAKDAI IC,CA 95361 (� _l__-- _ _� ..._t_:.L31.tiA i� --- ---------- �.... <br /> OFFICE-(209)847 8757 <br /> FAX -(209)847-7744 7 <br /> 0 <br /> PH# ----- =� --�- -..--. CONTACT ---- - � ._... �...................... <br /> CALIFORNIA CONTRACTORS I IC IiNSF,IN 657366!CLASS"A"ENGINEERING �gS31(4 OB# -------------- -.---I OI a------------------- ---P O # .--------- <br /> II f ' ' ' ' ' 1 " LAB ANALYSIS REQUESTED <br /> SITE SAMPLING MAP <br /> CLIENT CONSULTANT m moss <br /> E~ <br /> SITE NAME to PROJECT <br /> ADDRESS CITX ST j <br /> d H O <br /> m F <br /> SAMPLER SIGNATURE m" c O <br /> SHIPPEII'VIA WA LL# �Q p�,, � pp��, <br /> ANALYSIS BY TURNAROUND TIME DAYS 1- E w W W <br /> SAMPLE I D# DATE TIME CONTAINERS TYPE MATRIX il;'''r fi Ij illllll; li� ;ilf j,r !f€�'� ;ill,I� I'll l it hll II'I j REMARKS I LAB ID <br /> A. <br /> 2) mt <br /> 3) <br /> 4) <br /> 5) # <br /> 6) J <br /> 7) 1 )- A <br /> -vc8) t <br /> 9) <br /> 10) <br /> 1ll) <br /> 12)1 <br /> 13) <br /> 14) <br /> 15) <br /> BY <br /> RII.51DUIsMD BY 3 • �� ++ � (SRECIGNAM>Zi:7 �oz RECEIVED Co p&LINTACI' GRl�TY/COIND`T)ON <br /> TtF1 RIQll[sF[Fh BY �i i ABY ! Pt <br /> EJAIRBUBBLESINVOAS ! YES NO LIN S N <br /> . [ ,/ + SMATS)RB) �� �j` ��"ems USTODY SEALS INTACT / YES NO ( NIA====9A4A= I �,;, DA RrC[VmeS RPSERVATIVBSUSED I YES NO <br /> ! (SIGM4TURE) YPEOEMAWWAUMS, <br /> NOTE PLEASE ARCHIVE THP SAMPIPS SIIBAIHTED FOR TI1H PULL IIOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (MTBE,T.A M E,E T BX,D I P.E,TBA) <br /> RD =BAILER BLANKS COLLECTED IN"I IIF FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD � <br /> PINK FIELD COPT WII ITE&l ELLOW TO LAB W ITII S4MPLES 1 ELLOW RETURN TO CLIENT 551111 RESULTS DEL TECH C O.0 FORM 98 <br />