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� go <br /> -- ANALYTICAL REQUEST/SA CHAIN OF CUSTODY-- LAB TRACKING # -------------- <br /> RECORD -I— OF DATE RECIEVED <br /> Of <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES IAB INVOICE To -�-- - --._ U �. Lk11 <br /> 19624 OLIVE AVENUE,OAKDALE,CA 95361 <br /> OFFICE-(294)847.8757 Lr-... <br /> FAX -(299)847-7741 PH# '-( --�_ �-3-CONTACT - <br /> CALWORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# INVOICE#- ------P O # --- <br /> r <br /> Illild,id3fid r�n €I lel �`11'I illl�!€{€�I{ljf`pl+}Ilii° Irlilll fill€I!f€j3Jl llydllU{fl{'fII��Ei�f{�E'ff,i!+1df 11 rrl`Iirl lif i+lr ii f ii it€`i 131 I'1€€I�€€€€i€f�li�lrl`f '+ JI'€ r Itl r LAB ANALYSIS REQUESTED <br /> SITE SAMPLING MAP <br /> CLIENT CONSULTANT <br /> jalt) � � '� � oil amm <br /> SITE NAME PROJECT <br /> ADDRESS S CITY ST ► a �` <br /> SAMPLER SIGNATURE pas F F' 1 <br /> �� V <br /> SI{IPPID VIA WAYBILL# a W <br /> 7C d d $ d d 1"" <br /> ANALYSIS BY TURNAROUND TIME DAYS �- W w cc W W <br /> SAMPLE I D/ DATE TIME CONTAINERS TYPE MATRIX ;�'I€ ,d d!' I' REMARKS/LAB ID <br /> 1) — I IZJ5--. ! a t 10 <br /> ]) 9 It 10 Z. <br /> 4) <br /> D <br /> 6) '{7 <br /> ?) <br /> 8) f <br /> 9) <br /> 10) <br /> il) <br /> 12) <br /> 13) <br /> 14) <br /> 15) <br /> Wl <br /> �� 7tr� SAMPLE INT G l GOND ION <br /> RF1WOUiAA RY 0 RBCElVFDBY / j / <br /> ! r I <br /> {310NA 1URE1 (I]/ � O REMAW COLD&INTACT/Y8S NO f <br /> oA i,� <br /> RELMQUlsRID 8Y „/� „z11 RBORVEDBY AIR BUBBLES IN V.O.A'S I YTS NO fX LINE(s)4 <br /> 40 I MWA1111) CUSTODY SEALS INTACT I YES l NIA <br /> RELA1QUMIMSY RBCEIVEDBY 1�'��' � PRESERVATIVES USED ! NO <br /> WRP) I (SENATURE) :1 ,,Z100 TYPE OPPMERVATTVEfl, <br /> r NOTE. PLEASE ARCHIVE 77-IB SAMPLES SUBMITTED PORTHE FULL HOLDING TIME ALLOWED UNIESSOTHER ARRANGEMENTS ARE MADE * (M T.B.E.,TAME,E T.B.E.,DIYY. TZA) <br /> B B =BAILER BLANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLBOTID IN THE FIELD <br /> PINK-FIELD COP1 WHITE do 1 EI LO% TO LAB WITH SAMPLES S FLLO% RETURN TO CLIENT W ITH RESULTS DEL-TECH C 0 C FORM 98 <br />