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1999120721 12122119 <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN 0, DEL-TECH_SVC TAT: Standard ------- <br /> RECORD OF Pre-Loa rI [Dy #: 1.2,22004 _-_---- <br /> LAB.INVOICE TO: T '- 'r:._....-�' '_L_ .1- -------- <br /> ---- - -—--- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 --- <br /> OFFICE-(209)847-5157 ] r� Ss.[ <br /> FAX -(209)847-7744 PHI (- -) 21 -CONTACT: -------11- .----...-------.._......_.._------------------- <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING <br /> OB# -----------------INVOICE#--------------------P.O.# --------------------------------- <br /> lf'111!l';flllllilll1:I';'lllllllllll4llllIllllll;ll1111111;#llll!Illillilllll{flllllllllllllllllllllEllllllllllll!lll!Illllll[Illllll!,fIII!illll,l!I;i;'l.il��1, I .,II lljllll Illl•1 - , �.' .,I.;:,,::lll3'I LAs.ANwlvslsRligUFSTED SITE SAMPLING MAP <br /> CLIENT-.\ CONSULTANT 01-a <br /> SITE NAME: PROJECT: �; p( <br /> ADDRESS: CITY: ST.: i G� � F X ptmx.&,11 <br /> SAMPLER SIGNATURE G °a F ca ' <br /> v <br /> SHIPPED VIA: WAYBILL#: <br /> ANALYSIS BY: TURNAROUND TIME: DAY(S) <br /> 111111 SAMPIELD.0 DATE TIME CONTAINERS TYPE MATRIX Illllll Illllll IIIIIIII fllfllll IIIIIII !Illllll Illllll :Illllll Illll,i Illllll REMARKS/LAD.I.D. <br /> Li <br /> 2J <br /> 3) — <br /> 4a <br /> as <br /> 9.) <br /> 10.) <br /> 11.) <br /> i 2.) <br /> 13.) <br /> I4.) <br /> EL <br /> 1 s.) <br /> DATE/TIME <br /> �i c* R��BY: SAMPLE INTEGRITY/CONDITION <br /> ReLwou(sEn 9Y: 1 V <br /> / (5 TT)itE) 1 E1VED COLD&ENTACT 1 YES <br /> -(,,(NO <br /> A PATE JTV+1 <br /> RF1,iNQuISIaED BY; RECEIVED BY; AIR BUBBLES IN V.O.A-5 ! YES NO LIN 5 p- <br /> 1 (SIGNATURE) l CUSTODY SEAI,S INTACT I YESP") NO ( ) N/A ( i <br /> DATEITWE <br /> R traQ,Z� Y: 1 1! r oY ATIV RUSED _I YES , NO <br /> Lad <br /> NOTE: PLEASE ARCHIVE TI IE SAMPLES SUBMRTED FOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. ! (M.T.B.E.,T.A.M.E.,H.T.B.F.,D.I.P.E..T.B.A.) <br /> B.B.=13AILE-R BLANKS COLLECTED IN TIM FIELD. F.B.=FIELD BLANKS COLLECTED IN THE TTELD. <br /> PINK-FIELD COPY WHITE A VELLI)%V-TO LAB.W'ITII SAMPLES 1-ELLOW-RF rURN TO CLIENT WITH RESULTS DE1,TECII C,o.(,.FORM 98 <br />