Laserfiche WebLink
41 <br /> -= ANALYTICAL REQUEST/SA if CHAIN OF CUSTODY- LAB TRACKING # -------- — --- <br /> RECORD of '/a)67 <br /> RATE RELIEVED _.........._..--------,-------- <br /> LAB INVOICE TO - - ------ - 1 - �- ---- - <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES /g <br /> 10624 OLIVE AVENUF,OAKDALE,CA 95361 --- .1�.... -�---- �- -L '• P - ----- --..........i <br /> OFFICE-(209)847-8757 ', � + �` I <br /> FAX -(209)647-7744 PH# (`-..-�' -- - CONTACT ��rr -fA--"ZJ� -- - - - --------- <br /> CALIFORNIA CONTRACTORS LICENSE#657366!CLASS"A"ENGINEERING �'� 1�. <br /> OB# ------------------------INVOICEf-...._.................------ P O <br /> # -..-.. <br /> lljljELABANALYSIS REQUESTED(PLEASE PRINT)I, ' ' . -+- ._.......... <br /> SITE SAMPLING MAP <br /> CLIENTS Q j2 ` CONSULTANT S <br /> SITE NAME . Qa t PROSECT r t <br /> ADDRESS Imo• ST <br /> E <br /> SAMPLER SIGNATURE. <br /> SHH'PED VIAf WAYBILL#^°~-""'""" — ) <br /> it <br /> rAINALYSISBY TURNAROUND TIME :: DAY(S) <br /> SAMPLE I'D DATE TIME CONTAINERSTYPE MATRIX !1' {!;, ',,', ii l I!i;i;`!, i!;!!;!i i'i'i!I.I ,,; „ ;;!°;', €„!i„, REMARKS/LAB LD PS <br /> 1 `' <br /> f 1— � <br /> 3) <br /> 4) ! r r �— <br /> i <br /> ') III 1,4, <br /> 8) <br /> 01 (( 1_ <br /> 9) Lf - <br /> 14) <br /> 13) 1 1 �C' taar �- -tom-oma <br /> 14) J <br /> • <br /> Ise ` 1510 V, <br /> .� <br /> RELINQUIsHmny I � � !� escElvFDeY s} 7 i 7 SAMPLE INTEGRITY!CONDITION <br /> r! � <br /> (SIGNATURE) r ` 47 RECEIVED COLD&INTACT / YES NO( } T <br /> r to�k <br /> DATErnn>E � o�+Ta� , `666 k8CEIVEDBY � d ;�'d t1DAIR BUBBLES IN V O AS / YES NO LIN S A <br /> f, , <br /> (SIGNATURE) �j i� ! aS ! Z/ CUSTODY SEALS 1 YES ) NO( 1 NlA f p) <br /> DATE/TIME ' N <br /> RFtIhQulsllEnaI y RECFNEDsl PRESERVATIVES USED ! SES NO <br /> 1 SIGNATURES 1TYPE OF PRE-SggyggA§4t,. Ll C <br /> NOTE PLEASE ARCHIVE TETE SAMPLES SUBMITTED FOR THE FULL HOLDING TTM2 ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE , <br /> s <br /> B B =BAII FR BLANKS COLLECTED IN THE FIELD FB =FIELD BLANKS COLLECTED IN THE FIELD <br /> f <br />