Laserfiche WebLink
low L <br /> -- ANALYTICAL REQUEST/SAMPLE_C_ HAIN CF CUSTQDY-- LAS TRACKING T <br /> RECORD OF _ _:r ` DATE RECIEVED <br /> *� 1 7 <br /> 'L r <br /> LAB INVOICE TO ■t- �`1 --.-.» s} <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 � CAM)LC.l- - _ <br /> OFFICE-(209)847-8'757 -- - - <br /> 41 <br /> FAX -(2947-7744 <br /> - u � , <br /> 09)847 7744 <br /> CONTRACTORS LI �8 l -�+��-'CANTACI <br /> CALIFORNIA CON <br /> CENSE 0 657366/CLASS"A"ENGIIVEERINC <br /> JOBB wVOIcli# _ PO # <br /> LAe.ANALY9U RFQUEnW SITE SAMPLING MAP - _ - <br /> - CLiEN1 CONSULTANT - <br /> SITE NAME APROJE(-T 3 ♦ Y���\] Ir � <br /> 18 <br /> ADDRESS L CITY ST» <br /> SAMPLER SIGNATURE: d E <br /> O ce o <br /> SHIPPED VIA WAYBILL 8 u 0. P - <br /> F" - <br /> ANALYSIS BY TURNAROUND 77DWM DAY A. �- <br /> 11 I sAMP12lD! DATE TIME CONTAINERS TYPE MATRLL illil !I!'I!I !Alli, Iltl`! II`I III it ILII! ;I,'ill ''i IIl� Il�liil EIIlI,I REMARKS/IAB.I D <br /> 1) Olin 107.O _ - <br /> ; <br /> 2) <br /> 4) - <br /> 7) <br /> 6) AILISA <br /> 9) r <br /> 10) ,r <br /> 11) r <br /> 4ft ^L L <br /> 13 16- <br /> 14,) <br /> 6-1a) <br /> 15) <br /> DATME <br /> RELINOUL14M BY B RECEYVED ST ADATEITUAEz t) _ � SAMPLE INTEGRITY/CONDITION <br /> (SKiNAT%7RE) T ,r � �e)f `�`t.1 rfK'f i�I: <br /> RECEIVED COLD&INTACT 1 YES NO f <br /> RE LI NQ1IMED 9) 1 DATE I Tlla <br /> RECEIVF�9Y AIR BUBBLES IN V O A'S / YES NO 1A S M <br /> AMAWOMI (SIONATURF) CUSTODY SEA15 INTACT 1 YES flr NO ( NIA <br /> RE1.RdQU15HED B] <br /> RUMVED BY DATE ITWE PRESERVATIVES USED / YES NO <br /> / (SIONATIIRE) <br /> I Y <br /> NOTE PLEASE ARCHIVF THE SAMPLES SUBMITTED FOR THE PILL HOLDING TIMP ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE * (MTBE,T.A M E,E T B E,D I P E THA) <br /> B B C BAII fR BI ANKS C0LI_FC7ED IN I HF FIELD F B =FIELD BLANKS COLLLCTI?)IN THE I IELD <br /> PINK FIFLD COP% WHITE&I LLLOIS TO LAB NhJTH SAMPLES %PLLOW RETURN TO(LIENT N ITH RESULTS DF1 TECII C 0C FORM 98 <br />