-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY -- LAB.TPLACKING
<br /> RECORDA— OF � DATE RELIEVED: --------_
<br /> DEL-TEcii GEOTEC
<br /> HNICAL SUPPORT SERVICES' LAB.INVOICE TO: -- Z ' 1 ----- ? �- ------
<br /> CfA
<br /> 3D624 OLIVE AVENUE,OAKDALE,CA.95361 . . ; -------- .................... �[ CVE. E _------
<br /> OFFICE-(209)647-8757
<br /> FAX=(209)847-TI44 r PILE ) -i4f_�CONTACT: __1-' ' - --------------------------------
<br /> CA WORNIA CO,,TRACTORS LICENSE V 6573661 CLASS"A"ENC WEERIIVCA
<br /> OS N ------------------INVOICE 41 - -- -- - -P-O-#
<br /> .. :;1;1i1�,:t,:',,,��+,'r'•'t,�li:ii'�.I.IJ h,�,E:.�nr.!•r„Lri,l,'r.g,l.I.I..',.',1i.l1,i::;`..�,.I.�,r:..E'?'i'r,i•:I'�Ib:I•�lHl'rIlI.i,I."IrlI,illr I I”fi.,I I i,LI.I..II.P'r.!'1Ia`!:,.i.°I!:I.:�,,I!'I i,�I �!,iI,lL.,..1..+�.I I I�.:I.I:,:I...I'L:I�'ili I..,I::•:IriI:p.:,,,-I,,IllIrlIr!lir'llr,l li.;li.:i'�:ri.�,rr::1: :r:1;.",11?!,!�i.�, :!+:,,•,„•f•i,'f il
<br /> -----•------
<br /> lE :IIIIl!::
<br /> LAB.ANALYSIS RE UESTF� SITESAMPLNGM_ AP
<br /> --=--- —
<br /> _
<br /> CLIENT.-
<br /> CONSULTANT: !N * A
<br /> STIE•NAM6d" S �:.- PROJECT-
<br /> KID
<br /> ADDRESS
<br /> SAMPL$R SIGNIATURE:
<br /> V A o00 $ A < QD
<br /> t
<br /> SHII'PFD
<br /> cam._ A7URNAROUNDTIME: " 'DAY(S)
<br /> _ - - - CONTAINERS TYPE- j°,MATRIX- .III'''' I I Iri li'it ':'j li''•I I iii: rl iiI ' �'i - REMARICS� - -
<br /> MPLE LD.# - 'DATB - - TIM,E ..1:111! .N. :I L:,u:, :,,, :.II1, Ilhi#i, .,i4hl ,r:.�l.. ..,L., ,:,., IAB.l_D.
<br /> •�J
<br /> �r
<br /> 97
<br /> ice
<br /> 4.5
<br /> -
<br /> A
<br /> %
<br /> 4.)o
<br /> '• �;_
<br /> i N .. t .
<br /> * - - - - -
<br /> ma
<br /> Id:) -L����'-,���^:'� �1r��t-r�?"'l- -.- -.Jn°-, �3 �t� r - - -:J - .. � - � '•�;f
<br /> 0
<br /> 41P
<br /> ;ar: - � "° `� '�"�3`� � ns�ar _ ^a Z -SAMPLEINTECItITY/CONDITION
<br /> y
<br /> -y,- IE
<br /> .(S1ONA`h1riE1 RECEIVED GOLD&INTACT !Y2.5( NO
<br /> r. �:: . .,.:- r } - DATE!'[IIr(E,
<br /> B �, al ,
<br /> Aft RUBRU-S IN V.O.A.S I YES'may 'a-_ 2 __ CUSTODY SEALS INTACT /YES
<br /> _:;DATE r
<br /> PRPF_RVATIS USF-D 1 YFS' --" (SfOtU.'IUAEI- .:a YN__ �w
<br /> - ,-.
<br /> �£
<br /> ARCIiIVEs S LES MTITEDFORt1�F11i1FOLDING�1MEALLOWEDUNLPSS077{IYtARRANGFJ�iL'NTSAREkfADE ` > (M.T.B_E.;;TA.M_F_,E_T3E-- 'LP$;T-B.4.}
<br />
|