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SCI n <br /> -- ANALYTICAL REQUEST I SAMPLE CHAIN OF CUSTODY_ LAB.TRACK�#: !1_C�'__L_�(/�I! <br /> RECORD L OF DATE RELIEVED: --- <br /> LAB.INVOICE TO: ---+1� ) "�"T �`' <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES -"""-'- -' -' <br /> ---------- <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ---� a'-- ----_-�l v �• - � 1--�7 <br /> ---------- 1 ------------- <br /> OFFICE-(209)847-8757 ----�� /'�� <br /> FAX -(209)847.7744 PILk (-T�l---)--Y�'i� �CONTACT: -- -_/_ ------ <br /> CALIFORNIA CONTRACTORS LICENSE H 657366/CLASS"A"ENGINEERING <br /> OR N ---------------------INVOIC_F M -P.O.N <br /> II -----------L I — ------------ <br /> Q LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT: _ CONSULTANT: M 4- - .,1� R <br /> �... <br /> SITE NAME- t'e PROJECT: �� �+�} t"C+rR-11` <br /> ADDRESS: L�` �fTi CITY: p � <br /> �+ ..a °'S � � w <br /> SAMPLER SIGNATURE: Ll O' vO� a F+ <br /> d N rn ago <br /> _ A <br /> SHIPPED VIA: LJIS'�� ;WAYBILL#: y. a 2 *0 opo <br /> i�: Q g a a n � <br /> ANALYSIS BI':�i��.u�sD ���t TURNAROUND TIAIE: � DAYS � � � w w 1010 w � <br /> rA <br /> SAb1!'f F I.D. DATE TIAfECONTALVERS T)TE AIATRIX I' REMARKS/LAB.LD. <br /> 3.> �./ 1 V <br /> S, tw.o- � 1114 V im- I 1 <br /> 6., law- a..- , l� 1 b- <br /> 7.) c. <br /> 9.) <br /> 1Q.) r` <br /> r <br /> 13.) <br /> 14. C <br /> 15a (!J <br /> R>z INou1 "�BY j_IlDa <br /> EA <br /> LE/NTEGR/TY/CO D/ ON <br /> IsIaNAnme1 &INTACT/YES NO <br /> RF1 <br /> MED BY: 9 9� RB�IV®BY: / / / .O.A S /YES NO LI s I-/ (sloNAnme1 INTACT /YES( NO N/ARFLNWISNIDBY: RBCEWMBY: SED / YES NO . <br /> NOTE:PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL BOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.I.P.E.,T.B.A.) <br /> B.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B.=FEW BLANKS COLLECTED IN THE FIELD. <br /> PINK•FIELD CO%'_ WHITE&YELLOW-TO LAB.WITH SAMPLES YELLOW-RETURN TO CLIENT WITH RESULTS <br /> DEL-TECH C.O.C.FORM 99 <br />