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9902000201 BEL-TECH SVC <br /> CHAIN OF CUSTODY -- LAB.TRACKING #: <br /> D <br /> ATERECIEVED: ----------------------------- <br /> LAB.INVOICE TO: --•------•---------- <br /> --- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> - a v _' <br /> ---- -xr <br /> - -- - — -------------'--^ <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ��0y <br /> OFFICE-(209)647.8757 -" 3r � - <br /> FAX -(209)847-7744 PH.# (-------- --)- CONTACT: ----- ----- - <br /> CALNURNIACONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# -I INVOICE#---------------^------•- P.O.# ---------•--•---'-------------------'--- <br /> ! - ----- Irger� �y, <br /> LAI.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> Ci IENT: CONSULTANT SLY-- , <br /> o l <br /> SI7ENAME: PROTECT: &%W-. <br /> ADDRESS: 5�� CITY: D S'•• H <br /> o d <br /> SAMPLER SIGNATURE m 7 , <br /> SHIPPED VIA: �(, WAYBn.L o: —� x $ c +(`{VJ� <br /> ANALYSISBY: TURNAROLINDTIME: DAX W m eNo W Dal <br /> :11111 1111111 ;11!1111 !li1(II 111;[1 i'�I!'1 1,1111 ;!111111 Il lllil i:ill Gii111 REMARKS/LAS.LD. <br /> SAMPLE LD N DATE TIME CONYAINERS TYPE MATRIX <br /> cicv 1 3 9 r <br /> meq— 72- V 64- <br /> I Z1Z <br /> 6 X-A, <br /> ` ) L <br /> 9a <br /> 10.) <br /> 11.) <br /> 12.) IN&Q[-6 �T 1 <br /> 14.) <br /> 15.} <br /> ATE I TWE SAMPLE INTEGRITY/CONDITION <br /> RELwanSHED BY: ra� RrrervFn BYIs . <br /> rl , (S)OKA URE) , RECEIVED COLD A INTACT ! YES ) NO fIRN6ZIQ =:: D ) <br /> A �ATEITP[E <br /> 0.6(�[vFL By: AIR BUBBLES IN V.O.A:S ! YES NO LIN S R- <br /> Rp.wQUIS4®BY <br /> ISK;NATUREI , CUSTODY SEALS INTACT , YES f , NO I ! WA I <br /> DAIEl ILML \�� RATE I TIME <br /> l=[,wQuls[�naY: A[�[vF�iBY' ��j�I� � �(/\^i�/ PRESIiRVATIVES USED 1 YFS NO <br /> R <br /> 1S,cNATURe1 11 Q •��D4� �I-� - V V- V <br /> ' U <br /> NUTH- I'1.i;A51:AR('HIVY:TIIE SAMPLES SUBMlrTEU 1{1R"fNE PULL HOLDING TlMf?AI�.UvuTiE1.tINIF.SS O'f klfiR ARRANG!?MIiNTS ARI{MA[N? * (M.T.B.E.,T.A.M.E.,E.T.R.E.,ILLI'-E., 1.R.A.) <br /> B.B.=BA11.FR BLANKS('OLI.FI('n-D IN I'lil::HFIJ). F.B.=P[EL.I>BLANKS COL,LIX-l'Iil)LN"1"111"I'II.11D. <br /> PIVK-FIF1DCOPY W11[TEIYELLOtiy'-TOLAH.WIT115AA11'1.FS VFTI.U11 RKTURNTIFI'LIFN'TWITH RESULTS hF;l.l'F:('!!I".[�.(" FI 1H 11199 <br />