Laserfiche WebLink
Cgent <br /> DEL-TECH SAMPLE CHAIN OF,CUSTODY RECORD Address' <br /> t -,Geotectncal Support Services " J ,- t tea Phone Na' <br /> ; ^` 0grJContact L <br /> < r+.� �.+' �.„) xJ �'i'..Fn= <br /> � PIWV Aveinue - }a ,. i= y` Y ,x. •°: i�,%�^ �,"J }ej`t t T'`a ..n. `� �a <br /> 4 r6 Oae�Viilli. 95361; y nr ti'1 _ w' L �r _ rr.s' s j Pink' d SPI► y.• Sir �:5' 34'i'', a` <br /> : - - While and Yellow�To Labo atory with SamPlea H <br /> t_ <br /> (209)$47-8757_' - i3ecord of Yellow•Retum to Client <br /> PROJECTISITE NAME. ANALYSIS REQUESTED <br /> W-mSfA tPIR, t oN <br /> PROJECTICONTRACTIPO NO <br /> UTh CA mn <br /> - <br /> NAME OF SAMPLER �/,, REMARKSISPECIAL INSTRUCTIONS <br /> d,if s LlC T �c <br /> LAB USE ONLY SA PLE a m NUMBER <br /> LAB I D I D DATE TIME O ¢ COON <br /> U TAINERS <br /> •10 ati'S 1 <br /> x A I <br /> %W0 r1 <br /> X, 1 <br /> RELINQUISHED BY IGN DATE/TIME RECEIVED BY SIGN DATE/TIME RECEIVED FOR LABORATORY <br /> ++5, �S BY(SIGNp DATE/TIME <br /> RECEIVED <br /> ❑COLD AND INTACT OTHER PRESERVATIVE OYES ONO <br /> ❑OTHER <br /> TURN AROUND TIME <br /> SHIPPEDVI FED X ❑UPS OTHER. SHIPPING R NO 024-Hr 02 Day 135-Day Day <br />