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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY -- LAB.TRACKING #: ______________________________ <br /> RECORD OF J— DATE RECIEVFD: -------------------------------- <br /> LAB.INVOICE 7 O: --- 1 _�_ �----- �------------------ <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES ` <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 <br /> ---1-1 6%--_----`7 �` ` o - ------ _ 3 ---------- <br /> OFFICE-(209)847-8757 CONTACT- ----------------------------------------------- <br /> FAX -(209)847-7744 PH-4 ( ---)-� - <br /> ------------------ <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING q <br /> OB# ---------------------INVOICE#-------------------------P7SAMPUNG <br /> A #SIMAPLAS.ANALYSIS REQUESTEDCLIENT: O J CONSULTANT:SITE NAMEPROJE !v 1✓ADDRESS: �$�a QD <br /> ST.: <br /> SAMPLER SIGNATURE: IDV <br /> ¢� <br /> SHIPPED VIA: E � WAYBILL#: <br /> ANALYSIS BY: TURNAROUND TIME: 5 D DAY(S)F W w W W W <br /> t <br /> SAMPLE DATE TIME CONTAINERS TYPE MATRIX it "II�;II ��li t Iitljll I Til �lilii +��'lll �II,�I,") II� REMARKS/LAB.LD. <br /> I it .i' t .r .,,, <br /> 1.) a a4q717jZXX <br /> b \ <br /> 4-) - 3 11 -2- <br /> 5.) <br /> 5.) Z b <br /> 6) p Z,2 <br /> s.) <br /> 9.) <br /> 10.) <br /> 1 l.) <br /> 12) <br /> 13.) <br /> 14.) <br /> 15.) <br /> DATE/TRIBE <br /> REL04a„S1�J)Y. - Tlb <br /> Z ' "'�BY: ,/ �j 7��' SAMPLMCOMITION <br /> _ 1 5 (WNATURE) //� �✓/ - P. RECEIVED COLD 8c- DA' I74.1E <br /> -. RELNQU <br /> L%EDBY: a�=IVEDBY� AIR BUBBLES INV.O.A:S /YES() NO LIN S #- <br /> I (SK NATURE) CUSTODY SEALS INTACT / YES( NO( ) N/A ( } <br /> DAIEIJIME DATE 174.1E <br /> RpypjQt1y51�DBY; aEcEtvmBY' PRESERVATN2SUSED / YFS NO <br /> (SIGNATURE) <br /> NOTE: PLEASE ARCHIVE THP SAMPLES SUBMITTED FOR TI{E'PULL HOLDING TI ME ALLOWED.UNIESS OTHER ARAANCPJ.tEN(5 ARE MADE. (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.LP.F.,T.B.A.) <br /> B.B.=BAILER BLANKS COLLECTED IN THE FIELD: F.B.=FIELD BLANKS COLLECTED IN TIS FM-LD. <br />