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5 <br /> ANALYTICAL REQUEST/SAMPM CHAIN OF CUSTODY-- LAB.TRACKING #: ---------—--------------- <br /> RECORD OF _-r" <br /> DATE RELIEVED: ------•-----...._:..-----•-•- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE To: -- - -- - = ---- <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361" 2433.u Eli..AN t.�- — D -- -#-------- <br /> OFFICE <br /> - . <br /> OFFICE-(209)847.8757 ��q <br /> :FAX •(204)847.7744 H.# (.!-`y'.1.-) ! CO -----------------------------------•----------- <br /> P NTACT <br /> • <br /> CALH ORNIA CONTRACTORS LICENSE#6513661 CLASS"A"ENGIIYEERING <br /> - , OB ._....._........–_ OICE# -.-----P.O.# .............__...._...-------------- <br /> III <br /> LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT: CONSULTANT: F it M <br /> t., STfE NAME: PROJECT: �' f <br /> ADDRESS. CITY. ST d <br /> a d H <br /> g SAMPLERSIGNATMEi r e a �' o� Qo 3. <br /> SHIPPED WAYBILL G7 A o�0 5d m <br /> k <br /> ANALYSI5HY TURNAROUND TIME: DAY <br /> rrarlQ._ t.= coxrArxEIes >rrr8 l r i ! III -REMARKS/LAR LD. <br /> 3q a r <br /> 4) -ja <br /> tk <br /> '4-�;� 11) Ya6�. �;'k• �"2t'�&E'` -s��'-'.�-4�kk•� � +•= .,q .x:° .._ <br /> Id) mss,c;- - ' _ .-. "• - - - <br /> IS fEhae" Y Y:, o <br /> RBmIvmBY =3 vAlsfruycs "SAM LE IN EGRITY/CONDITION <br /> ✓ <br /> RF1.B1QU15EIGD BY ! <br /> iY � •� RECEIVED COLD&INTACT 1 YES ( NO f <br /> -, ti DATE f'IA54$ - .. <br /> �Ls RFLIPIQULSk�BY- <br /> RBCFtVFDBY ABt BUBBLES TN V.O.A.S !YES NO l.i 5 q <br /> n'F�1rY; "•! - (5IOP1A7L1kE) .. .. <br /> A174 <br /> CUSTODY SEALS INTACT I YES(" NO{ N/A <br /> UA7EITIME <br /> RB F1VED BY: PRESERVATIVES USED I YES NO <br /> RtI..WQU151IEL BY - - _ <br /> +x'1a vis k,yrrs. A M <br /> O'I'E,,,LFA51L+1RCLELVB THH SAMPLES SUBMITTED FOR TILE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGF.ATNTS ARE MADE. *,(M.T B.E,T .E.,E.T.B.E.,MIX E.,T B.A.) <br /> y.r .,,:z:*, <br /> .B..�BAILERBLANKS COLiECIED IN THE FIELD.. .` F.B.=FIEI D"BLANKS COLLECTED IN THE EIELU. - <br /> ' %FINK FIELD COPS" WHITE&YELLOW-TO LAB.WITH SAMPLER YELLOW•RETURN TO CLIENT WITH RESULTS DEL-TECH C.O.C.FORM 96 <br />