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-- ANALYTICAL REQUEST/SAA CHAIN.OF-CUSTODY LAB TRACE3NG : - 3M <br /> r n_ <br /> RECORD OF DATE RELIEVED <br /> . . <br /> DELTECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE TO: <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95362 <br /> OFFICE-(209)847-9757 = <br /> FAX -(209)847-7744 PH.B ( --- � CONTACT - <br /> CALIFORNIA CONTRACTORS LICENSE X1657366/CLASS"A"ENGINEERING <br /> OB# 1 OICE1; ­—P.O. – = <br /> � liiiii Nllll!,!�I,',i',! 111!111!I!I k !!! !!I'ill!IIII li ullli3l !IJ i' I IIIIIIJI li i.;i.!I! ,!I I!!!II'!1111171111 i1;!;ti!'.�ull II II III!I Ili I I1i11 I1i11.1,''!!!!!!li!!!!11!!111!! LAB.AlKALYffi3 RxA2uFSTF� SITE SAMPLING MAP - <br /> CLIENT: CONSULTANT <br /> �V <br /> SITE NAME PROJECT: <br /> ADDRESS: N CITY: ST.: s' 15 � � o <br /> == <br /> SAMPLER SIGNATURE: L C o m o W <br /> cD <br /> 13 <br /> SHIPPED VIA: WAYBI LL M �7 Ap7 d g Go cc <br /> 6 d H <br /> ANALYSISBY: TURNAROUND TM: DAY( F Rl w So W <br /> f,', SAMPL—F LD.I nATE TWE CONTAINERS TYPE MATRIX 111111' I!!!lii 111!!111 ILII: I!il1!!I !1111111 !!EE I! III Ill# 11#111; !il;l' REMARKS/LAB.I.D. <br /> 4.) _ - <br /> 5) - <br /> 7.} <br /> 8.) <br /> 10J <br /> I1) <br /> 1 Z.) <br /> 13.) <br /> 14.) <br /> 15.) <br /> DATE 1 TGA SAMPLE INTEGRITY/CONDITION <br /> C RF.�IYFD BY: t'ri.7.T� <br /> i1F1.IIJpllLS1iFJ3 BY: 7 _ <br /> RECEYED COLD&INTACT I YE NO I <br /> r DA'1]ilTIME _ <br /> RELINQU15FffI.l BY: RE�iVF�BY: ABR BUBBLES IN V.O.A.S I YES NO LI 5 0 <br /> I (s�TURE) CUSTODY SEALS INTACT 1 NO-( NIA <br /> DATE I TIME <br /> REL]Nq 1ISH D BY; RG[E BY: PRESERVATIVES USED I YES NO <br /> TURD / (SIGNATURE) I VZLVLUWaUV <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBM117l3D FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. *`(M.T.B.E.,T.A.M.E.,E.T.B.E.,D.I.P.F.,T.B.A.) <br /> B.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINK-FIELD COPT' - WHITE A YELLOW•TO LAB.WITH SAMPLES YELLOW-RETURN TURN TO CLIENT'A'1T11 RESULTS DF.1:TECII C.O.C.FORM 99 <br />