Laserfiche WebLink
SAMPLE CHAIN O US ODY RECORD <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> �M 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAB INVOICE TO i L,E"30 <br /> OFFICE (209) 847-8757 <br /> FAX (209) 947-7744 RECORD OF PH # }__CLIENT / CONSULTANT: W,U),M k LV> P O. #I INVOICE# <br /> G'W� rear ITM) -190€PE ANALYSIS REQUESTED SITE SAMPLE MAP <br /> PROJECT!SITE NAME f4EW LOELL,L, S,m -TR_U 644_1 I ITEMIZED AND CRECRBD BELOW) Mor"SCAUI <br /> ,v (NORTH <br /> 10 _ L) Z (i <br /> STREET ��H*\1 � CITY 49t6T-4qD'" STATCC <br /> E • tai <br /> 0 <br /> L }; O Q Q W Q J Lu J1 <br /> "r1'� HIP VEA °�' Lu°C p o z m L, <br /> SA R IPaBrr®sICNATURB) AYBILL fY y ao 0 CD a s - <br /> CD a o- a m w <br /> s w = ILw <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE S,gtyfp 0 o =w x CD o ri v <br /> OF {GRAS OR = CL cc a F — R', <br /> ti � <br /> (IDENTIFICATION) MTamAr/Ix ROUR l MIN cnNTAINERs cnMPosrrs} J1Ti4TRl8 F- m w o0o m REMARKS/*SPECIAL INSTRUCTIONS BELOW <br /> I - b 6 S, t <br /> Z)YWw - b �' 5 b <br /> 3T P QUmV—, 6 6 0-1r D <br /> 4) * N <br /> T1 <br /> ) 6) <br /> n <br /> 7) <br /> 8) 61 LL QZ- <br /> 9) 1 <br /> -' ANisa S o 0 � <br /> 1N 9 I� [%J//f�j •+SAMPLE INfEGRITt/CONDITION&TURNAROUND TIME •+ <br /> r <br /> u33 RECEIVED COLD&INTACT I IR; NO <br /> CO I ED*tmam1 QUATE!TIML. EC DATE I TIME. PRESERVATIVES USED}lf,L,ES NO } <br /> f <br /> N n ! L CUSTODY SEALS INTACT J VES ( WO PVA <br /> AIR BUBBLES INIV OAS 1 YES } NO ,� Lim,t <br /> INQD[SHEIyM EKNATI l ATE ITMIE REC.EI%EDBS DATE lTIM E <br /> TURN AROUAD TIME CHECK ONF <br /> RE]INQLISIIFD BT „6—T-t, ATE/TIMt CCE1VhD BI L4RORA R)' T[Tk MS�KOL, TIME ATt l TISit 1� 24 <br /> ItULSR { 49 HOURi I)AN+ ) 10 DA1 { } <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAPS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGEMENTS ARE MADL. <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND BLUE ICE AS SOON AS POSSIBLE THANK YOU DEL TECH FORM C O C <br /> Pink Field Civ / White & Yellow - To Laboratory with Samples 1 Yellow Return to Client with Resulls <br />