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1999110375 I v101199. _ <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN DEL-TECH-SVC TAT: Standard -------____ <br /> RECORD OF Pre-Login ID#: 1110056 ---•---- <br /> LAB.INVOICE TO: ----------------------- <br /> - . DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ---- �Y�• ------ �e_'��?_�._... �[ <br /> OFFICE-(209)947-9757 � � � <br /> FAX •(209)847-7744 PH.# t ---- ---) CONTACT: ____ - •-........._.........._...-................-- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ---------------------- f...-•-----••--•••-..._ .O.# __...•••-••-•--•-••--------••---•--- <br /> LAB.ANALYs[s REQUESTED SITE SAMPLING MAP <br /> CLIENT: CONSULTANrT- <br /> SITE NAME: PROJECT: {� �► fY t � <br /> ADDRESS: i. CITY IST.:CA <br /> SAMPLER SIGNATURE: boji r p E• ' <br /> SHIPPED VIA: WAYBILL II: <br /> ANALYSIS BY: TURNAROUND TIME: k 0 JAY(S) m <br /> SAMPLE L.D.I DATE TIME CONTAINERS TYPE MA X <br /> REMARKS/LAB.LD. <br /> 6. <br /> 2-) <br /> 3 4.) + � �� W L A <br /> 4- 7.) 5 u� Z I <br /> li 9.) <br /> 10 12.) <br /> + ( <br /> 13.) <br /> 14.) <br /> 1 S.) <br /> A f .� <br /> REUNQUISHM BY! [ �� � RTS7_IVFD BY: ^ ,J SAMPEE NTEGRITYI GOND TION <br /> r (SPUNATVRE) C/���1 C�.Cyf/ RECEIVED COLD&INTACT I YES <br /> _No ( 1 <br /> 7iKA 1 DATEITBNE <br /> RExBuQDISI�nBY: R VEDBS': AIR BUBBLES IN V.O.A-S I YES NO LINE(S)B- <br /> r (SIGNATURE) r CUSTODY SEALS INTACT 1 YES ) NO ( ) N1A ( j <br /> REUNQUISMm BY: . J f RECErvEDBY: DATEI7TME <br /> PRESERVATNES USED ! YES NO <br /> NATURE? 1 !O}y Ia QE PRES9&V_ATfL <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.I.P.F,..T.R.A.) <br /> B.B.=BAILER BI-ANKS COLLECTED IN THF.FIELD. F.B.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-FIELD COPT" WH[TE&YELLOW-TO LAB.WITH SIMPLES YELLOW-RETURN TO CLIENT WITH RESULTS DF:I:TECH C.O.C.FOR4198 <br />