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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF Cl KLEINFLDR ST TAT: S# -.ward <br /> RECORD OF 221070 I111111IIIIIIIIIIIpIIIIIIIIpIIIIIIIIIIIIIp1111111IIIIIIII - <br /> LAB-INVOICE TO: <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES �� � � � <br /> - - — -------------..... --------------------------------- <br /> 10624 — <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 .......X.............. .. .... --•- -.. . _..4---_—_�'!�.....----------------------._.._. <br /> OFFICE-(209)847-8757FAX -(209)847-7744 pH,# ---)����Z�__.CONTACT: ------��' ..�1 <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ---------- NVOI #---------------------------P.O.# -------------------------- - —- <br /> 'I " �Midi! !!iiiii? :,l`l ill' i J ��I!��!1 j I r I! •i:'i ! ! i I �j �'I,I 1u,1 ��!i it II <br /> i!li' ��: I i'I„.,,,, r { 11 f f!E r ;r•.iii III r,I!�r,',!I'! ,i �.�I LAB.ANALYSIS RSQ SITE SAMPLING MAP <br /> ,�i. i: r I�.L..i-..f I!�Ilil,I�r.:I. , SII I,.il Ihlli;i,ai!J:,�i h 1 ur E ,:o,!Ir,ula!u a,l!i ii,I��I i1!-[Iilkltr!f[p_:iGsI,�Pr�.n! „l � 1.i1l�u! iI' i�1�IiE4,iulu <br /> CLIENT: �� M.�h CONSULTANT: [VQ L DE .— o�� <br /> SITE NAME: I S ,D PROJECT: HT1 T Fr zb,5 — p I <br /> ADDRESS: E i L FLD CITY: D ST.: 1 d <br /> o d k4 ' — ! <br /> SAMPLER SIGNATURE L I y2 0 m <br /> SHIPPED VIA- WAYBILL#- <br /> g e <br /> ANALYSISBY: TURNAROUNDTIME: DAY . W <br /> Eli SAMPLE LD.3 fill; ^,�� :� ,,:r I� ���a, <br /> DATE TIME CONTAINERS TYPE ! li'a IIIII 111 I <br /> MATRIX i�lifE! •lrl.,h Ll, Ii i 'd�,i. ,�.1 ;I l 111 fl ll,lit!li l:;r;llii REMARKS/LAB.LD. <br /> 1,1 1ftAj Zi o �� <br /> Z.) -' 1-2- p b <br /> 3.) +a <br /> 4.) <br /> s') <br /> 1\5 <br /> 7.) ma <br /> 1 p <br /> L) r A L �.o Y <br /> 11J <br /> .07 <br /> 12) <br /> 13.) <br /> 14J <br /> 15J gor <br /> A <br /> RE1¢apulsl¢n BY: AbCJ[VE4 BY: 2 Pz�'tat <br /> �1 � SAMPLE INTEGRITY/CONDITION <br /> S N (SiCNATS1R61 i RECEIVED COLD&INTACT/YES NO <br /> A 1 DATE I TIME <br /> RELINQUISHEDBY: BECBTVZDBY: AIR BUBBLES IN V.O.A.S /YES"/) NO LINES #- <br /> S 1 (SIGNATURE) f CUSTODY SEALS INTACT / YES 4- I NO ( 7 NIA f ) <br /> DAMITINS DATE I7UAB 00, <br /> RELINQUIS}A1]BY: W�F.[vID BS': '� fJ BSI— PRESERVATIVES USED 1 YES NO <br /> S N,6 ! (SIGNA'ITJRE) /'12f L EOF V <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMEN—CS ARE MADE. � JM.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.S.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB.WITH SAMPLES YELLOW-RETURN TO CLIENT WITH RESULTS DEL TECH C.O.C.FORM 98 <br />