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.S <br /> Client ' <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address <br /> Geotechnical Support Services (please print) Phone No. <br /> Proj. MgOContact <br /> 10624 Olive Avenue Pink.Field Copy <br /> Oakdale Calif. 95361 White and Yellow-To Laboratory with Samples <br /> (209)847-8757 Record of A— Yellow-Return to Olent <br /> ,¢tis s s iJr <br /> ANALYSIS REQUESTED <br /> PROJECTISITE NAME: -5-130 friu�F <br /> ECTICONTRACTIPO NO: I <br /> REMARKSISPECIAL INSTRUCTIONS <br /> NAME OF SAMPLER: <br /> LAB USE ONLYS MPLE IQ: mNUMBERN.LAB I.D. I.D. ATE TIME 30082 <br /> C5 TAIN RS <br /> 300A 4 <br /> 30084 . ` <br /> &%KUILm 30C 8 5 <br /> �b <br /> p IESsEL:tj= <br /> �+E <br /> 1 <br /> RECEIVE BY SIGN DATEITIME RECEIVED FOR LABORATORY <br /> RELINQUISHED BY SIGN DATEITIME :y�— /� DATEITIME y —E r <br /> BY(SIGN): <br /> t RECEIVED: <br /> �tT OLD AND INTACT OTHER PRESERVATIVE OYES ONO <br /> IMP� PlIbIL VATIV DOTHER: <br /> . perr ^� �� �► APPROPRLLL IA �, <br /> GOOD UUND MW— TURN AROUND TIME: ' <br /> 05-Day <br /> SHIPPING ORDER NO: 024-Hr 02-Day Day <br />