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-- ANALYTICAL REQUEST/SAI�RLE CHAIN -- <br /> OF CUSTODY LAB TRACKING # --------- <br /> RECORD — OF ` <br /> - DATE REC:IEVED ---.—.......................... <br /> EL-TECH GEOTECHNICAL SUPPORT SERVICESJLABIN VOICE TO 4L - <br /> 1 24 OLIVE AVENUE,OAKDALE,CA 95361 =t.__�_I.._ "� a_14 2Z�— K Sa xd— =z �il �®r��—�����---�----�s.�ti�� <br /> OFFICE (209)847-8757 _.- --------p:. _€-. <br /> FAX -(209)847-7744 4 f ' 3 <br /> Y <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERINGPH# (:.'------}-�-=----------"" CONTACT ---= <br /> OB# <br /> LAB ANALYSIS REQUESTED SAMPLING MAP - - <br /> CLIENT 'I'll <br /> CONSULTANT ��7y] m �^ p SITE SA _.. <br /> SITE NAME D°-t�-., � w�s�..s'�� !'RO.TECT � � `� �+ E+ � x �'#� sADDRESSCITY m �f ��# � <br /> SAMPLER SIGNATURE s k ; s y} `• O 'a s' <br /> 0 <br /> m N <br /> s� <br /> r <br /> SHIPPED VIA ��.,�`,r,������� WAXBII.L q - _�� � q � o � 'in N <br /> ANALYSISBY !, cz <br /> > �a TURNAROUND TIME _ t DAX S w m f�xl <br /> III I I SAMPLE ID f' DATE TIME CONTAINERS TYPE �' I 'w .0 ,, <br /> MATRIX �f I� li IIS ,il'll I i li REMARKS/LAB I D <br /> Ikii, ' R.e'...., 1 R• t' «, <br /> 3) <br /> 5) <br /> i <br /> 7 y � c 1 0 <br /> 'i <br /> I O} F+ <br /> f <br /> 12) fi <br /> I4.) <br /> RELINWISI¢D BY -B a t <br /> RECEIVED B1 - DATE ITS <br /> SAMPLE INTEGIUTYI <br /> {srcrrATUR� '� *; �� CONDITIUN <br /> RELAlQVIsHED 8r RECEIVED COLD&INTACT I YES (,,-IVO f ) <br /> ' , '� RFJCFtVEps1 DATEITLME <br /> v AIR BUBBLES IN V 0 A S ! YES 1 NO f LMAS)k <br /> 4, .� Iar3NATIl r r <br /> uLNiquism)m l A ! w If CUSTODY SEALS INTACT ! YES f NO I 1 NIA d ! <br /> RFLFAVED R1 DA7E f TIME <br /> PRESERVATIVES USED ! `IES <br /> I (SR7NAMM <br /> NOTE PLEASE ARCHIVE THE SAMPLES SLiFiMITTEDFOR THE HULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEME">•CS ARE MADE <br /> B B =BAILER BI ANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD � (M T.B E TAME E T B E,D I P E TBA) <br /> PINI{ FIFIDCoP1 %1HITF&1F:FI(W, TOTARWITHlZ&MRI FC scr�nty nvnn.,T.r..r �r� <br />