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M 'r—J <br /> ? <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY — LAB TRACKING # ___.-----------_ <br /> RECORD � OF � is DATE RECIEVED _ f;f <br /> i 1 ) 9' i __� g T �. 1 <br /> .-�-, LAB INVOI4F TO �----------�-------�-- ----�-------° .,..�=-...�:`i-�--- ------------------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 <br /> OFFICE—(204)8474757 , <br /> FAx -(289)1347-7744 PH# (Tjt, "- ) - --f> a CONTACT {-'-$- ..j - ---------------- <br /> CALIFORNIA CONTRACTORS LICENSE#657366 f CLASS"A"ENGINEERING <br /> JOB# --------------------INVOICE#--------------_•----._pO ------------ <br /> 7777i,I„ "I[ 1 LAB ANALI SIS REQUESTED SITE SAMPLING MAA <br /> rb <br /> t CONSULTANT I <br /> SITE NAI13E ( " ° } PROTECT t y, � - <br /> 11 E s <br /> ADDRESS CITY '` t _ '-11 �% ST ¢� V r=f w <br /> SAMPI.ERSIGNATURE <br /> SHIPPED VIA 1.0r t F')i `{WAYBILL# <br /> ANALYSIS BY t^ f TURNAROUND TIME s C� DAY(S) <br /> cel{E SAMPLE I D f DATE TIME CONTAINERS # TYPE MAT= ��'I �;iP iil3i��, ,1'i`I �n i '��Ef �`Elii lig ii III"E i�,��111 REMARKS/LAB ID <br /> 1) i j' - i s it 4 /at !`; 13 i {{ t ^ <br /> 4 , ' <br /> 4} <br /> r � <br /> } YAC" ' ( 1- ° <br /> I 7> 6 1i7 <br /> 9) <br /> 10) if <br /> 12) 0" <br /> 13) <br /> 14) <br /> s" <br /> 15) c <br /> s <br /> RE].B�' E115F�D B3 �•�� �` fJ�vcl <br /> RB�IVED BI fr F F ._+ DATE 7'I1ME� <br /> v F5 , f' r � SAMPLE INT GRITY I CONDITION <br /> awe g �'" 8 (5B 3NAtvREZ ' 1 e j_;,s RECEIV ED COLD&iNTAcT i i ES ):1 ] <br /> T ' DA7ElTME <br /> AII.BJQI1151-TII)BS r`,p 4�t f� '^ �' <br /> # RFAUIVED Bt J r�r AIiZ BUBBLES IN V O A S f YES( x" td 4 � ' � "�� ` (SIGNATURE) fd f t e rTer er f CUSTODY SEALS INTACT' ! YES (PATE/TM1LRE[7JVED B) PRESERVA7 IVES USED 1 IES <s'/,::J—(SIGNATURE) <br /> NOTE PLEASE ARCHI VE THL SAMPLUS SU11KIITTED FOR THE FULL IIOLDING TIME AL.LOWFD UNLFSS OTHER ARRANGEMENTS ARE MADE (M T B F T A NIX F 713E D I P F TBA} <br /> B B =BAILER BLANKS COLLFCIED IN I HE FIELD F B -FIELD BLANKS COLLECTED IN I HE HELD <br /> PINK FIFI D(OM Li HITF&I FI TAIII T0T AR T41TH CAMVT FC %T:i r nu <br />