Laserfiche WebLink
. = I=l = l .. IMNMEIMA' 1 TIVMIo -40 d'd'b .. .. .� <br /> EL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAB. INVICE TO : <br /> OFFICE (209) 847-8757 <br /> FAX (209) 847-7744 R ORD OF PH.# - <br /> CLIENT / CONSULTANT: P O. #/INVOICE# <br /> Tril dfi ANALYSIS REQUESTED SITE SAMPLE MAP <br /> i voolPROJECT I SITE NAME (ITEM► ND CHMED BELOW) ��w, t;To:«„' T(N�O`RTHJ <br /> 1=,""+ 6Mra}�4 _ <br /> X�o 4:-,' <br /> 00(-.CbCITYkSTATE • fT04 A <br /> .V <br /> V+(� 1 y� HIP VIA + <br /> SAMPLER (PRINTED s1GNATl 11 ii//ss WAYBILL# <br /> t 1 <br /> SAMPLE LOCATION DATE TIME NUhfBER TYPE Mp f 'ltr�r <br /> of (cxAs ox i <br /> (IDENTIFICATION) MTAIDA}f}R ADUx►MIN CONTAINERS (X1MPY)sITE) MATRIX REAIAR�CS/* SPECIAL INSTRUCTIONS BELOW <br /> l, . = t. B <br /> 2 �a <br /> 3) - <br /> 4) <br /> S) 4 <br /> I <br /> I q0 <br /> 7) r <br /> s) <br /> 9) <br /> 1 ) Mu 3 <br /> 1/ V <br /> -MAIPLE INPEGRIT}1 CONDITION A TURNAROUND TIME •• <br /> `' ` '(� v RECEIVEp CQLD&INTACT ! 1 ES NO { <br /> I VISIIE B! .Turn ATEI TIME R ElYED BY wrHnTuan ATEI TIME PRESERVATIVES USFD �l ES NO { <br /> Ct'STODI SEALS INTACT I 1 ES NO NIA <br /> AIR BUBBLES!N V OA S r ]I-'; � } NO � /t LINE# <br /> ELINQUISIIED BV dw� Turn ATE TIME [RECEIVED Bl wwwrurn ATE)TIME. <br /> TURNARO(UNDTIME C-11ECA0\E <br /> FLINQI'IS11ED81 �-NMTlrn ATEI TIMF ACFIVF.D BY LABORA TORY noTe n�rn..rn�ro nni. \TFI TIME I _11("R { } ;A 110UR } DAl } 16 11 <br /> NOTL LARORAJrORY SAIIIPLL ARCHIVING WILL BL 30 DAYS kROM THL DATM SAMPLE WAS C.()1 I LC.TMD,ENI USS OFHLR ARRAINGLMLNIS ARi, NIADF <br /> 12I M ASL RM FURN I))'I TFCH'S ICI:CHM%r AND BI UE ICM AS S(X)N As P()ssm M rHANK YOU DM 1 1 M CH FORM C O C <br /> Pink - Field Copy / White & Yellow - To Laboratory with Samples / Yellow - Return to Client with Results <br />