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r � <br /> Client _ <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address ��- <br /> Geotechnical Support Services (please print) Phone No. <br /> Prol. Mg06ntact <br /> 10624 Olive Avenue RECEIVED MAR 2 7 1993 Pink-Field Copy <br /> Oakdale Calif. 95361 <br /> (209)847-8757 � While and Yellow-To Laboratory with Samples <br /> Record,.+ of Yellow-Return to Client <br /> r <br /> PROJECTISITE NAME: ANALYSIS REQUESTED <br /> PROJECTICONTRACTIPO NO.: NJ <br /> NAME OF SAMPLER: <br /> �� REMARKSISPECIAL INSTRUCTIONS <br /> �, � <br /> LAB USE ONLY �PLE m NUMBER _ <br /> LAB I.D. I.D. ATE TIME D air COW <br /> U TAINERS <br /> Jam, `"AX `�1LJ�, --fD �1 z Z_ lk Y EE <br /> b <br /> RELINQUISHED BY SIGN DATElTIME RECEIVED BY SIGNRATE/TIME RECEIVED FOR LABORATORY <br /> �-7 iG _BY(SIGN): DATEfTIME .. <br /> RECEIVED: <br /> COLD AND INTACT OTHER PRESERVATIVE OYES ANO <br /> ❑OTHER: <br /> TURN AROUND TIME: <br /> 5H1PF?ED VJ ❑FED X ❑UPS 'fi#OTHER: i�� T � SHIPPING � R NO.: 024-Hr 02•Day D5-Day jDa, <br />