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rp b % /-T-[ v - <br /> -- ANALYTICAL REQUEST/SAMPLE-CHAIN OF CUSTODY-- LAB.TRACKING #: ---------------- ------- <br /> RECORD OF DATE RECIEVED: Qo4. <br /> LAB.INVOICE T __ �_....-. k .�f�r - ------------ <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES �-j ���� ���0 <br /> 10624 OLIVE AVEh'LfE,OAKDALE,CA.95363 c --- <br /> OFFICE-(209)847-13757 [' �i 1 ' t+ r <br /> 5 r [ 1�U CONTACT: -t. v...Z.t..�.11----..}.._ ............. <br /> FAX -(209}847-7744 PHA ------- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ------INVOICE#------------------...__._P.O.# -..:.- - - <br /> „ F i !.,+ :, •. LAE.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT: j'kj CONSULTANT: I ' .,M <br /> SITE NAME01'10a PROJECT: i <br /> m <br /> ADDRESS• CITY: ST.: a F O w <br /> SAMPLER SIGNATURE: R + <br /> C7 <br /> SKIPPED VIA: YBILL# e e <br /> I� <br /> ANALYSIS BY: TURNAROUND TIME: DAY(S) <br /> xAafPIEI.D.� DATE TIME CONTAINERS TYPE MArRlx ;; .` REMARKS/LAB.I.D. <br /> - o Water <br /> 3.) <br /> 4.) <br /> 5.) <br /> F.J - <br /> 7.) mh)- 1 <br /> e.J <br /> 9.) <br /> 10.) <br /> 13.) <br /> 14.) <br /> RFl.BVWISIFfDB7': r A RECEIVFDHY: i'f f/ �F `�-�' DAIE i'tvlE SAMPLE INTEGRITY/CO DITION <br /> 1' (SIGNA'FVAEj l/ l b 2- RECEIVED COLLI&INTACT I YES ) NO f <br /> 1106 im I-L <br /> D .lTBu[F <br /> RELNQUISHMBY: MAI <br /> �T�BN'- % AIR BUBBLES IN V-0-&'S I YES NO. L1N'S 8- <br /> fSICNA lvrU l " 1? CUSTODY SEALS INTACT ! YES ) NOf 1 NIA S PATE ITNE <br /> REI 94WISHMBY: RECEIVED B7: PRESERVATIVES USED I YES NO I <br /> t {5[GNAilRF.� r O V S: <br /> NOTE: PLEASE ARCHIVE THE SAMPLFS SLBMn'TE 1 FOR THE PULL HOLDING TIME ALLOIA'ED.UNLESS OTHER ARRANGEMENTS ARE MADE. � (11.T.B.E.,T.A.M.E..E.T.S.E.,D.I.P.E..T.B.A.) <br /> B.B.=BAILER BLANKS COLLECM-D I\TIIE FIELD. F.B.=F _LI)BLANKS COLLECTI7)IN TIFF,FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB.IVITH 5AMPLFS YELLOW.RETURN TO CLIENT WITH RESULT'S DEI.TECH C.O.C.FORA 98 <br />