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-- ANALYTICAL REQUEST//SAME CHAIN OF CUSTODY— LAB TRACKING # � o <br /> Q <br /> RECORD OF 41 DATE RECIEVED ----------------------.-- <br /> B INVOICE TO <br /> .�... -- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> AVE CA 95361 --.11. L°irueyw.n ��l_. #.. .1__...� <br /> NUE,OAKDAL S -----r------ <br /> 10624 OLIVE E, <br /> OMCCE-(209)947.8'157 PHJ -0 oNTACT -.Sieu.t <br /> FAX -(209)947.7744 r 1 <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING OB# -------I OI #,-----_____PO # -------.. <br /> l II !IflII Illi Illl�il fllliill;llll�lilllll!I'li lil I;;1111�,I°111 ll lliililll,lll Ili iil ISI Illi�ii f ld'�i!!IIII�'II li l!I!IPIII�I{l b! ...I!!Illlili ..I'9�IIli Iilll llil'l�Illl l `liE `I'I'IElili[E, "'Illid LAB.ANALYSIS RE)QUE47ED SITE SAMPLING MAP <br /> CLW,NTt CONSULTANT * <br /> SITE NAME u PROJECT 011 iiar 1. _ >1 >f <br /> CITY <br /> ,�Y 1 <br /> ADDRESS p7 <br /> a <br /> SAMPLER SIGNATURE' % a <br /> S'HIPP'ED VIA m $ W <br /> ANALYSIS BY <br /> TURNAROUND TEAM- - DAY � � F Irl w m W <br /> III SAMPLElixI PATE TIME CONTAINERS TYPE MATRIX III II IIiI illll`I` Ill Ili 1111 IIII!li II!III 'illliil llll' I`li{l REMARKS/LAB I.D. <br /> I) t <br /> 13 <br /> f <br /> K <br /> 2) t <br /> 3) 1 <br /> 4} <br /> 5) � 1 <br /> 6) <br /> 7) , <br /> B) k s a <br /> 9a <br /> 10) <br /> 11) � <br /> 13.) <br /> 14,) <br /> 15) <br /> RRELINIQUImm <br /> R9MV®BY fp 7DATELVO K911 S I EG /COD O <br /> AlPRECEIVED COLD R INTACT 1 YES NO <br /> a 781 �Ut RUBBLES IN V OA'S I YES NO L! S A- <br /> /P 7 �� RB178 BY LIA—c� <br /> (Si4[Lt7S1RF� CUSTODY SEALS INTACT !YESDAMTRAE NO( N!A z <br /> DATE I Tl a t <br /> ay®By a PRESERVATIVES USED ! YES NO s <br /> NOTE PLEASE ARCHIVE 773E SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE. f (MTBE,TAME,F_T.B I?,D I.P.E.,TX A) <br /> B B =BAILER BLANKS COLLECTED IN THE FIELD F B =FIELD B�ANKS COLLECTED IN TI IE FIELD i <br /> PINK FIFLD COM WHITE R S ELI Oii TO SAB WITH SAMPLES i FLLOW RETURN TO CLIENT w ITH RESULTS DEIrTECH C 0 C FORM 98 <br />