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--ANALYTICAL REQUEST/SAM CHAIN OF CUSTODY-- LAB TRACKING # - ---------------------- <br /> RECORD OF rr" ���� Q DATE RECIEVEA I�✓------------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LABCC��INVOICE TO -------------- ------- ---�j ��-"-'- Yy,rtN�-------.--- <br /> 10624 OLIVE AVENUE,OAKDALE,CA.%-Ml -- � ---x'�" � ;` 4 _o <br /> ----------- <br /> OFFICE-(209)847-8757 <br /> FAX -(209)847-7744 PH# ( " --)--:. ONTAC7 <br /> CALIFORNIA CONTRACTORS LICENSE#6S7366/CLASS"A"ENGINEERING <br /> JOB# OICE#---------------------------- P O # ---- <br /> I <br /> Ill�,!'llll�ll����1 frl �ij9111l13+1lIE!€[!'�€ I f�lli'€I I II llf'I,II F f If � Iill�I'� I!1 III 11 1!'q,'�'l+I,;lli�I�fl Il+fi11 +IIlI�€I1 Illy,iP�I I I If III I�IIIIIIII�'l llll�I'�i!+ 1�+!'I+;'�'ll'lli�I I"IIT��II€f'1 ,I`illll" I LAB.ANALYSIS REQUESTED(PLEASEPRu+m SITE SAMPLING MAP <br /> CLff.NT CONSULTANT 04ORM <br /> SITE NAME PROJECT 1 <br /> � 1�Ia <br /> ADDRESS 3 D j a CITY ii�nA5r ? p <br /> SAMPLER SIGNATURE. L I j 0� <br /> SHIPPED VlA L, c, WAYBILL# 46 <br /> .� l <br /> ANALYSIS BY Y V v rD TURNAROUND TIME DAY(S) <br /> "I i!€! �� �I ,GII,II REMARKS/LAB I.D �'S <br /> I€ SAMPL6LU DATE 77ME CONTAINERS TYPE MA77II% 1 ,'!I!'I ,u,l { I !! ,111!I ' 'FIE E I , € I <br /> 1) -1k cf, v T <br /> Z) YYM -- I D <br /> 4) Yi,4.t�j <br /> 5) 1f W11�) <br /> 6) <br /> 7) 3 ] b <br /> 8) <br /> 9) <br /> 10) <br /> 11) <br /> 11) <br /> 13) <br /> 14.) <br /> 1s) <br /> DATE DATEIMIVIE <br /> RELIKOUISHED BY fl RBcnvEO BY �' /" f� �j SAMPLE INTEGRITY I CONDITION <br /> SIGMA { !I3 RECEIVED COLD&INTACT !YES NO f <br /> 30JNQU1St1EDBY n <br /> F <br /> RECIIVED BY �` ABR BUBBLES IN V O A S I YES NO L! S R <br /> siGNA f / / CUSTODY SEALS INTACT I YES NO[ NIA DATEIMME.RELINQMHEDDY RDCEWE"DBY PRESERVATIVES USED / YES NO <br /> SIGNATt1RE1 r OP PRESERV S <br /> NOTE PLEASE ARCHWETHE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMEnS ARE MADE <br /> B B =BAILER BLANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD <br /> PINK FIELD COPT %%HITE&S ELLOW TO LAB.l41TH SAMPLES 1 ELLOW RETURN TO CLIENT%ITH RESULTS DEL TECH C 0 C FORK!99 <br />