Laserfiche WebLink
m � IM I � � Iml � 1_ w�LLt�-� �� ■w <br /> SAMPLE CHAIN OF INUSTODY_RECORD <br /> DEr1 TECH GEOI LCHNICAL SUPT=ORI (PI LASE PILIN-I) Lab. Analysis by . ,11h-t 1q) <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAII INVOICE I(f (���t til>1 C�q(� _ �t✓C 1 t <br /> 01iH ILL (209) 847-8757 <br /> FAX (209) 847-7744 RECORD ��OF� m # — 1 -) ,,I Lrj)oc� <br /> CLIENT 1 CONSULTANT: ��� , �( i r�I P O #/ INVOICE # <br /> { r ` ANALYSIS REQUESIEU SITE SAMPLE A1A1t <br /> PRII]ECf/SI M NA NII; 11��+ Y;��'i-{��' (ITEAHZED AND CHECAED BELOW) <br /> 1 NU NTI I <br /> _ ) <br /> z U3 <br /> J O Z LL <br /> {{ l l4 1n <br /> STRhE7 ✓.Cb t DQ AWA IIIY 121k h1 SIAIh �- ' � �� < o � •_ llW%�r <br /> s o o Q " W <br /> HEP VIA ] d cc= a J a <br /> I WAYBII I,q 1� a,J[i 17 �- �, a M r�fi w a J <br /> SAMPI E (P ImIkD SIGNA111RE) �t y r w � 0 CD < <br /> id o J J H <br /> C, <br /> -- <br /> NUAfRER TYPE z X o _ <br /> SAAfYI.E LOCATION 1)A7'1; TIM S4AIPGL z a o <br /> (lU8Nfl1IC471(1NJ MTHAJAVId LlDuxrMlN CT1N�N6R5 QG�PKISITA) AfAYRlX m Da ccoo REAMRKSl* SPLC141 1NSIRUC11UNS DHOW <br /> 2) X,)&)A) - 1� <br /> 3) <br /> 4) <br /> s) <br /> 6) <br /> 7) <br />' B) <br /> I <br /> 1 9) <br /> l0) <br />� I , � /��- ++.t.311Y1E1YTl:C.krlil(OhlilflUN61Ukh41fuf7VDllAll•, ++ <br /> / `� K M H%ED I M I)&INTA1 1 ! t F, k �/ Nib { <br /> EI.1N II !EU Ht uk n ' ` lA 1 E 1 71�IE 1 t REI M hD Ht wig n.�uku 0A1 E 1 TIME NRkskttN Al It FS USED jk�1-1 !h', Nib i <br /> 1 — _ tINI(1111SLAIN INTAt7 1 NfS i Mf , WA <br /> AIR d1INHI L%IN 4 IIA S i ILS ) Nib �� I INE F <br /> RSI.INQi11S11E11 Hi np wYllkti IA I k!I IN% HEt It NU lit ,s,.n+,�ki, - - Al E l t OIL <br /> 1141E I RE(A 0VI- <br /> 1 `- �rV�' I�/ ✓I 1A1E111�IF , Rh4 drub I1}'I ) ![rt'7f/RI N fY Ilkb•k 1N,11ti1! fA1F!Ti41F �1 'i IItII 11 } 411 111111H IIA$ { iu lltl ] , <br /> IY()1 h IFlY Hl 1p�•� +c11 <br /> NOTE LA BORA FORM SAMPI Is ARCRIVING IVII I BE 30 DAYS I,ROM �HE DA I F SA NIP[ f WAS COLI EC MD,IINI ESS Of11Ill ARRA INGEAIEN IS Ald,Id, MAD <br /> PLEASE RETURN ILEI 7 ECH'S ICE CIILS f AND BLUE 1(,L_AS SOON AS POSSIBI E I IIA NK YOU DH I LCC FORM c O C <br /> i I n i i I <br />