Laserfiche WebLink
NEW <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB TRACKING # ----=- ---------- <br /> RECORD OF DATE RECIEVED _----.------------.--- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO <br /> i! 10624 OLIVE AVENUE,OAKDALE,CA 9SMI <br /> x OFFICE-(�)an-97sl Q DZ9 <br /> - <br /> FAx -(20�$r7-na4 -_' r _ - � _ r �� ( NTAGT: <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> SII (I I! I III,Ili NEI{ II ! I JI I'illi I, III I I I i! II I I I I !�I ?I I 'll III li I II 1,1 lillii II III' I#I I ! I I I I'I'1 I I I'13 MLY� ��'`' �' �" SITE SAMPLING MAP � 4 ZL <br /> � <br /> CLIENT- a CONSULTANT: <br /> SITE NAME- PROJECT 1` • _ t _W*.' a <br /> l Y ADDRESS S i CrrY: ST <br /> SAMPLER SIGNATURE: LE o <br /> zh }L <br /> r, <br /> VIA _S /_ r� -• -ham <br /> SHIPPED WAYBILL e a$ �� „f.,✓t - r: ? ;� + <br /> M ANALYSIS BY TURNAROUND TV& DAX( oNa <br /> AE . , i, E <br /> REMAexs l LAB <br /> -SAaPLELRO-1-_- TIME P� <br /> a 2) i • AO— <br /> a- <br />�x f 6 3) <br /> AFL`-.1r- <br /> K 9) <br /> 10) 8 3 - y <br /> t=„ <br /> rti <br /> 12.) <br /> �- 13) <br /> !~ 14) )()W4Ell <br /> IS) l IV L V <br /> DATE J TVKG <br /> RE7 Ir4oti m BY >� R>3CEFVED BY / • ,;r SAMPLE INTEGRITY/CONDITION <br /> ISKMATURFt (510NA711RBj RECEIVED COLD&INTACT I YES NO f <br /> A DATE 7 TIME <br /> ,uypy�l�gy RECEIVED 8Y ABZ BUBBLES—V O A S ! YES NO LIN S N <br /> J (SIONATUR� CUSTODY SEALS 1NTACi ! YES ( ) NO f NIA <br /> 1/I <br /> DATElT1ME <br /> MI NQUISHEDBy RECEIVED BY PRESERVATIVES USED ! YES NO <br /> ! (SIONATVRE) V L <br /> NOTE RX-ASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMPNTS ARF MADE (M T 131:,T A MX,F T B L,D I P L,T FLA) <br /> D B =BAII I_R BI ANKS COLIX-CPLD IN T1II;FIELD I-A =HELD BLANKS COLI ECFL7)IN TIM,FTEI D <br /> PINK FIELD(OPI WHITLA N FL I O11 TO I.AB W ITIF SAMPI L', N H I OW RFTURh TO(I IFNTN ITII RESI'ITS AFI TtC11 C O( FOR1195 <br />