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I <br /> -- ANALYTICAL REQUEST 1.5 4- 1 CCll IN OF CUSTODY— LAB TRACKING # ---------- <br /> RECORD OF DATE RECIEVED <br /> FI <br /> .r. <br /> LAB INVOICE To . _�� �'_�,.y------�--� �:�, ��._!��_ I <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES I E �'"-� "'� / # <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 <br /> OFFICE-(209)847-8757 + <br /> FAX -(207)847-7744 11 PH# ( `( --) 115INTACT ...V��........q.--? ------------------ <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# -------------------INVOICE# <br /> X111 ip�ruiI €, <br /> ,L r,E ` LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT( CONSULNT 4 r m <br /> '�A <br /> C � <br /> SITE NAME FIT ",3DB PROJECT t 174 <br /> ADDRESS ( I{ P f,/ CITY w (' EST O <br /> SAMPLER SIGNATUREL In r, Lft a o o o <br /> SHIPPED VIA e.Ua ii'AYBILL <br /> a a a a F <br /> ANALYSIS BY TURNAROUND TIME ] Y� DAY S w w oNo w <br /> Ih SAMPLET O C DATE TWE TYPE MATRIX <br /> REMARKS I LAB I D <br /> 2) <br /> E t <br /> 3) rr l <br /> 4) 4 <br /> 5) ! 4� <br /> 6) 1 ' �I <br /> 7) 11 ,, <br /> S, <br /> f = I I <br /> 9) <br /> 12) <br /> , <br /> 13, I <br /> 14) <br /> [i 1 7 t w� <br /> i s) ! E..� .. <br /> I .� RECEIVED st I PA Is SAMPLE INTEGRITY/CONDITION <br /> DA <br /> RF}.FNOtf15N1>D BY 7 <br /> I t583NATFfREr L',2. RECEIVED COLD&INTACf I YES ) NO( ) <br /> DATE ITI)a 'I <br /> PFEaL <br /> uIS m Bl ,i �� J� -�� RECEIVED BY ()j� AIR BUBBLES IN V O.A S I YES NO LINES)A <br /> �✓� -�-rel/✓.1. (S—T +eI t�f; s { '/ `' ` 'v CUSTODY SEALS INTACT !YES NO( 3 NIA r 1 <br /> DA ITIME DATEITDAS <br /> Vmi6D61 RECEIYiD85 PRPSERVATIVESUSED / YES NO ( <br /> Opmnm TYPE OP PRESELYEIYFA51 <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (M TZX,T.A M E E T B.E,D I.PX,TBA) <br /> B B =BAILER BLANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD y <br /> PINK FIELD COP! WHITE&S ELLOA4 TO LAB WITH SAMPLES 1 FT WO RFTIIRN To CI IFNT M ITH R FCItI Tc ri nct rcru r n r cnn�R no s� <br /> f� <br /> I <br />