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7V <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB TRACKING 944-1 <br /> RECORD OF DATE RECIEVED - 3 <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO ------- ------------------------------------ ----------------........ ` <br /> 10624 OLIVE AVENUE,OAIO?ALE,CA 95361 !--�-----------�--------------q...._......._........LAMCI... -----------------•- <br /> OFFICE.(209)8474757 $938 <br /> FAX -(209)847-7744 PH# (------- --) - --._.......__CONTACT --;PN..--------------------------_-----.___._..._ <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> JOB# --INVOICE#--.-------------- P O # ` <br /> :1 NI i, LAB,ANALYSIS REQUESTED SITE SAMPLING MAP r, <br /> CLEENT CONSULTANT T 1. L , 1 <br /> SITE NAME LL PROJECTS ; r"6 <br /> ADDRESS-11 t tbWILSPO V/" CITY ST <br /> SAMPLER SIGNATURE p e 0° K o .. <br /> SHIPPED VIA ( WAYBILL# I °�° °D cl� <br /> ANALYSISBY TURNAROUND TRdE �� D DAY S �+ �+ W W at W k7 f <br /> SAMPLE LD rf DATE TIME CONTAINERS TYPE MATRIX I, ', , „ REMARKS I LAB I D <br /> 1) 11 1 `� d {L 2) — <br /> 3) low - OL <br /> - <br /> 4) <br /> s) <br /> 6) <br /> 7) <br /> 8) <br /> 9) <br /> 10) <br /> 11} <br /> 12) <br /> 13) <br /> 14) <br /> 15) <br /> WRIEMIVED <br /> !RELINQUISHM BY ,3SAMP E INTEGRITY/CONDITION <br /> 1 �3Q RECENED COLD A INTACT 1 YES ) NODATERELMQU1SHMBS pS 30 �j AIR BUBBLES IN V O A S I YHS No LIN S Nj t/(tl �1�-K�d� 6)d �v CUSTODY SEALS INTACT !YES NOf I NIA iRELINQUISHEDB) Y PRESERVATIVES USED I YES NO <br /> i <br /> I (SIONAiURE) TYPE 0PMESQXa4V& <br /> NOTE PLEASE ARMVE THE SAMPLES SUBMCTTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE 4 (M T B E,TA ME,E T.B E,D I PX,T B A) <br /> B B =BAILER BI ANKS COII.EC MD IN THE FIELD F B =FIELD BLANKS COLLECTPI)IN THE FIELD <br /> , <br /> PINK FIFLD VOP) WHITER 1 ELLOH TO LAB N ITII SAMPLES 1 EI I ON RFTURN TO CLIENT N ITII RESULTS DFI,TECII C O C FOR 6f 91 <br />