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-- ANALYTICAL REQUEST ISAM pt CHAIN OF CUSTODY LAB TRACKING # --------- -------------- <br /> RECORD OF[ 010t,a 9 9 -/o/0 DATE RELIEVED <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE To ..................................... <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 ------------------------------------------------------------------------------------ ---------------------------------------- <br /> OFFICE-(209)847-9757 'k <br /> 4wW_ CDONTACT ------ ------ <br /> --------- ----- <br /> FAX -(209)947-7744 PH# <br /> CALIFORNIA CONTRACTORS LICENSE U 6573661 CLASS"A"ENGINEERING <br /> JOBf ------------------------1 OICE#---------------------------- p 0 # -------------------------------­--- <br /> ANALVSTtLEQUESTED(PLEASE PRINT) SITE SAMPLING MAP <br /> CLIENT CONSULTANT U-1 -11 <br /> SITE NAME PROJECTI CGin <br /> I <br /> ADDRESS 0 [A CITY ST z <br /> SAMPLER SIGNATURE . J_ ,nK4-- j p <br /> SHIPPED VIA -C WAYBILL# <br /> Q. <br /> ANALYSIS BY TURNAROUND TIME DAY(S) <br /> SAMPLE I D 0 DATE TIME CONTAINERS TYPE MATRW <br /> REMARKS/LAB I D 'S <br /> 7 Water- y <br /> 2) V <br /> L�n <br /> �'T\ <br /> 4) S 3i= <br /> 6) t At <br /> 7) <br /> 8) <br /> M11 J-1-1 <br /> 9) <br /> M <br /> 110) - 17[I JK t�l A h 4�- <br /> 11 ra T F�l <br /> 7) <br /> 1 1 <br /> 9) <br /> 0) <br /> ETT6 <br /> 12) Eli L <br /> r-Lia ibA <br /> 13) M id N pp, I <br /> - <br /> 14) <br /> D <br /> ' ME <br /> it RE17MM BY 17/ 25 <br /> RELINQUISHEDBY SAMPLE INTEGRITY1 COND17-70N.- <br /> TRM (SIGNATURE) /6/9 161-- RECEIVED COLD&INTACT/YES (4) NO <br /> D /D TI%NWWE <br /> RELlNQWMSKED BY '�'noo RBLUVED BY �j AIR BUBBLES IN V 0 A / YES NO A LINE(S)N <br /> p:dqTQ-WATrLrRQ I)u /-oz (SIGNATURE) 0 1)111A) CUSTODY SEALS INTACT / YES()Q No NIA�( ) <br /> DATEITIME DA:WMNE t2V <br /> RELINQUISHEDBY RECENED 13Y PRESERVATMES USED I YES 4) -40 f <br /> �LL,_.A51GNAATlJERELJ I (SIGNATUREJ, VATIVU-S) L <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBM=D FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE <br /> B B =BAII FR BLANKS COLI ECTED IN THE FIELD F B =FIELD BLANKS COLLFC-MD IN THE FIFLD <br /> PINK FIFLDCOPA %$HITE&IFLLOW TO LAB IKITH SAMPLES NF[10% RFrtIRN TO CLIENT*ITH RESULTS DEI TECH( Of FORNt <br />