Laserfiche WebLink
-- - --- <br /> AN <br /> REQUEST/SAMPLE CHAIN 4F..CUSTODY-- : LAB TxAcxuvc ' <br /> RECORD OF. DATE RELIEVED <br /> } <br /> LAB.INVOICE TO: -- —'"' — - -- ,:.11 ! <br /> DEL—TECH GEOTECHNICAL SUPPORT SERVICES t <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 .?` =_i -- 3f - <br /> �, OFFICE•.(209)847-8757' .- , <br /> ` FAX'-{209)847-7744 ` . PH# {r"" - - CONTACT:. <br /> CALIFORNIA CONTRACi'ORS LICENSE#657366!CLASS"A"ENGINEERING <br /> OB# I YOU #__ _� _..-- P.O.� — <br /> #r Ill, i I II I t i E `ILII �I LARANALTSMREQUESTED SITESAMPLINGMAP � .s <br /> f <br /> CLIENT. CONSULTANT aid Y <br /> SITS NANI6: <br /> OLD <br /> PRoJECr: <br /> ADDRESS: CITY S I. -0 � <br /> SAMPLER SIGNATURE: � f <br /> sEarPED VIA:: WAYBri.L#: <br /> I ppQy, Q ppQ. E <br /> ANALYSIS BY TURNAROUND TIME: DAY ` W allo �- G*i <br /> SAMF _D..f. DATE, TIME: CONTAINERS TYPE" MATRIX 1# I t I I II '11111 REMARKs.l.LAB.LII., <br /> 2.) <br /> .:. ; <br /> s <br /> s-j - <br /> t 4•) <br /> ti <br /> 5) Mr _3 <br /> T) .. .. <br /> 5" 9.) <br /> 1 i.) <br /> 12) <br /> i 3.) <br /> 14.) <br /> 15.) <br /> mulsmm 9Y: ` Al [VFI]el - - _,� DATE!TRAR ` <br /> f. � INTEGRITY/CONDI IO <br /> RECEIVED COLD&INTACT I YES NO <br /> -DA'[E I TINM <br /> AELlNgUl5WDBY- R�IVEDBY: _ AIRBUBBLESINV.O.A'S /YES NO LIN S #- <br /> r (SIGNATURE) CUSTODY SEALS INTACT I YES NO( NIA <br /> DATE I'M1E <br /> RELINQUtSHM nY: r_ I I RECEWED BY: PRESERVATIVES USED / YES NO <br /> (SIGNATURE) ! L., ' <br /> NOTE: PLEASE ARCH]VE TBP.SAMPLES SUDMIITP.D FOR THE FULL HOLDING TEMP ALLOWED,UNLESS OTHER ARRANGPMPNTS ARE MADE. * (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.LP.E.,T-B.A.) <br /> B-B —BAILER BLANKS COIJ.FCTED 1N THE FIELD. F.B.=FIELD BLANKS COLLEcrEI3 IN TM-FIELD. <br /> PINK-FIELD COPT' WIII OF R YFLLOVV•TO LAB.WITH SAMPLES YELLOW-RF I'URN TOCLIENT"'ITII RFSUL'IS DFL TE.CI[C.O.C.FORNI9S <br />