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i -----•--------•-- <br /> -- ANALYTICAL ISE UEST/SAMPLE CHAIN OF CUSTODY-- LAB.TRACKING #: •--• * / <br /> RECORD OF DATE RECIEVED: . --•--------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LA B•INVOICE TQ:- - <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 -_ .-- .-- . . _ <br /> OFFICE-(209)847-8757 <br /> NTACT• —'" <br /> FAX (209)947-77" PH.# (� ) <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS A"ENGINEERING _ .0.# <br /> a r ,ri„ Ili I ;;' III ., r I I'Itli i 'li I r IE�frk r 1�J 3 I i111i€! #LAB.ANALYSIS REQUESTED -- .«SITE SAMPLING MArP <br /> - a <br /> CLIENT:C. j "1 CONSULTANT: <br /> SITE NAME: PROJECT: - P+ <br /> ADDRESS: CITY: ST.: <br /> SAMPLER SIGNATURE: LL12, LiQlAkp v crl c qn <br /> SHIPPED VIA: "WLL#: w I? C? 90 P oo ao <br /> ANALYSIS BY: I TURNAROUND TIME: DAY CO W WLD1;1lE SAMPI�L ti.A DATE <br /> CONI-AINERS TYPE AfATRI1f l� !ILII III I!;jIIIt i E.i I III II ki l' 1k' ]�E R�s �B <br /> 2.) <br /> 3:) <br /> 4.) <br /> Ll ,. <br /> 6.) ,) . ! <br /> tt.} <br /> B) <br /> 10.} <br /> I z.) <br /> I <br /> L13.) <br /> ATS I TIMESAMPLE INTEGRI TY/CONDITION <br /> RELINQUISHED BY: 5 RIVEDes': r/ j <br /> J <br /> RECEVBD COLD&INTACT 1 YES NO <br /> (SIGNATURE) <br /> r^ pATL 7TMSE AIR BUBBLES IN Y.O.A.'S 1 YES NO LIN S #- <br /> RFLINQUISHID BY: �. ter'- RFiE[VID BY": <br /> (SBUNATURE) <br /> CUSTODY SSALS INTACC 1 Y85 NO f ) NEA <br /> o Tsi rmE DAM JTIME NO <br /> RELINQUI51-IID BY: RECEIVED BY, f(,e( r• ��.-.�[',_,(-,J f PRBSERYATIVIrS USE <br /> ! YES <br /> f (SIGNATURE) "' _`-if• Y <br /> 2LU2 11 <br /> * (M:C31.E.,T.A.M.E.,E.T.B.E.,D.I.P.E.,T.B.A.) <br /> NOTE:PLEASE ARCIJIVE THE SAMPLES SUBMH-TED FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. <br /> B.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B.w FIELD BLANKS COLLECTED IN THE FIELD, DEIrTECH C.o.C-Fo"'9% <br /> PINK-FIELD COPY WHITE K YELLOW-TO LAB.WITH SAMPLES YELLOW-RETURN"TO CLIFNT W ITH RESULTS <br />