Laserfiche WebLink
-- ANALYTICAL REQUEST/SAMPL HAIN OF CUSTODY -- LAB.TRACKING #: -------- <br /> y <br /> RFCORD 1 OF LATE RECIFVFIT- -------------------------------- <br /> LA R. <br /> -------------------------------LAB.INVOICE TO: .......... === •------ ----•----• --------- ----------------- <br /> DEL-TECH GEOTECHNICAL.SUPPORT SERVICES <br /> 1 10624 OLIVE AVENUE,OAKDALE,CA.95361 ------------------------•--..._.---•------------••----------•---...------------------------------- <br /> OFFICE-(209)847.8757 <br /> PH --•CONTACT: ...........................---------------------------------------- <br /> FAX -(209)847-7741 (------------)------------------ <br /> CALIFORNIA CONTRACTORS IACFNSF.#6573661 CLASS"A"FNGINFERINC <br /> I.AW ANALYSIS kEQUESTEI) SITE SAMPLING AtAP <br /> T: <br /> �votiai <br /> it Y� ) � i� .F€ CONSULTANT: , # ;r <br /> C <br /> LIENT. <br /> AME: OCT'{)-7 PROJECT: - -?-r} ti W <br /> ADDRESS: Ll Z 1 CITY: ST.: si O w, i <br /> SAMPLER SIGNATURE: r�,'�*4 -- {� t` ' < arc `„ <br /> SHIPPEDVIA: WAYBILL#: ��- S q $ Ems" E;af r <br /> ANALYSIS BY: <br /> C L'%��•�_ . TURNAROUND TIME: �Tt' rt�-? � % DAYS a; r i o`o r�: u: ' fTo <br /> SAMPLEI.D.A• € LATE TIME CONTAINERS TYPF i MATRIX REMAl7if;SILAR. I.D. <br /> I-) •�l l•�` T '! t J� �" �v� i.:i �a'�t 'r --11,1 <br /> 2.1 1 �•r\^.7 1 i./ 1 I `1:'t l7 F f {, 1 I nt <br /> 3) <br /> 5.) �;• eye, � ti...3 i L4 <br /> � ' 1 <br /> b.) q •,,x'4.1 i t `—, �.B � 1 r i l <br /> I91 �.• t <br /> { DA 1 DATE f TAF. <br /> RLEANOUISl�8). RECEIVED B)':_ j y i� SAMPLE INTEGRITY 1 CO,VI)1770N <br /> cr1 T<r t i, I � fslcnATURe RPcrIVFn COLD k INTA(7 i Yrs so ( ) <br /> A. ,lrdE DATE fTNE' <br /> RFI.NQuISHED BYr :i i' 1l�' RFEEIVED BY: �� _ C AIR BUBBLES IN V,O-A_'S ! YES I I \f1 LItiE(S # <br /> ( ..tom= . -. �� � -�+r•,' /. <br />� cN Tu <br /> . �...— �`"'•u .+ A' r:•- �SIGNA'R1RFi �,•% r CUSTOI))'SF,AL. INTACT , YES.t- i� NO ( i NIA i 1 <br /> A -f TB.IE - DATEI7IME <br /> k51.LtiQt;:stlF.D Bl': RFCFrv�:D jy, <br /> PRESERVATiVE51;SEh ! YES fy i NO i <br /> , IYPE,OF 3 VATIVE S: <br /> N'oT1i: (M.T.B.E.,T.A.M.E..I::r.B.1?..DA.1'.E..T.B.A-) <br /> B.B.=BAIITI: DI.AtiKS('01-LEGIT I)IN Tlfl:I•TF ID. F.B.=FIELD BLANKS('01,11'(71-D INTI IF FIELD. <br /> PINK.FIEI.I)('0111' WHITE&1'Ea.LIf1K-TNI LAR.V1'ITH SAMPLES VELLOW-RETt'kN'TOl'I,IFNTN'1TH kE:ST'LTS DEL TECII l'.O.l'.FORM 1)8 <br />