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r <br /> -- ANALYTICAL REQUEST/SAMPI:E CHAIN OF CUSTODY-- LAB.TRACKING #: ------------------- <br /> RECORD OF DATE RECIEVED: ------------------ ------ <br /> LAB-1NVOICETSr' �} : _l-� - �5 -- ?- <br /> DEL—TECH GEOTECHNICAL SUPPORT SERVICES <br /> 14624 OLIVE AVENUE,OAKDALE,CA.95361 -- -_t---- -- _kl --_-- - ----------------�= ---------�?..g.J�__ <br /> OFFICE-(209)847-8757 <br /> FAX -(209)847-7744 PH-9 (d��fll ( _CNTACT: j))A( <br /> -__ � ---------------_-- <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERINGq. �r" <br /> 3 OB# ---------------------INVOICE# -- - -P.O.# - d - <br /> i{jh Ijlij Ij ��Ijlj_ Ijl•j €11 ,}�j�j�� I I I I I -iji�l III ' -il , i°! II�� �lij�j'•ilj'I I III i I``il I I fJ I. i °I I i I III i.f ------ - <br /> If,. i,.i 1„li�.,,,,_Illill E[,�I ,f#j jl��I!1 lIIII ,,#l,�l f,�Ili�ji,,lll„I!,i. jlllllll;��I fjl,jlllih ill,lf�ilElilillEi;,ij Ili,�.�l,j�l i ISI 4!3 il�I,I,,,,Iih€}�i311 Ijiih.,,ll �I,�i;�ij�I ;�, �I. LAB.AruLvsls REQUESTED stTE SAMPLING MAP <br /> CLIENT CONSULTANT: s <br /> SITE NAME: PROJECT- <br /> ADDRESS q CITY: C r• ST.: O w ! <br /> E y <br /> 0 o H <br /> SAMPLER SIGNATURE: 0 gt o W <br /> :. SIHPPED VIA: <br /> psi Q e F” }�•'- <br /> ANAIYSISBY: TE3RNAROUNDTIME: DAY I1#W1t IIw o W W <br /> r2j <br /> I.D.# RATE TIAlE CONTAINERS IYPE lISATRIX �i� I� i lllllljl Ifil%I�� ������ IIEII IIIi'������� �� REMARKS/LAB.ID.' <br /> 'Mw <br /> 5) <br /> 6.). <br /> 9-Y <br /> 1 - <br /> IQ} <br /> 13} - - <br /> RL'•CFIVED BY: � ,.• DA•IE I TP1E - . <br /> tzour4itusHnar �` J / 7 f J 77 SAhfPLEINTEGR7 /CQ 1)ITTON <br /> c _ 4 f7 ( 1 / RECEIVED COLD&INTACT!.YES NO {. <br /> =';w xl; - l (SK7MA7lIRE) ! <br /> PATE ITRdf - -' <br /> RECEIVEDBY- - AIR BURBLES INV.O.A.S' / YES NO 06 LINE(S) <br /> 1 CUSTODY SEALS INTACT I YES <br /> DATEITNE <br /> RE1 WQulsiamel' ' lr :r RECEiVmBY: [PRESERVATIVES USED 1 YES NO <br /> - <br /> tr (Si01'7ATUPE). nu OC EBUKLVAmas): <br /> r,NO TL' Pl L�ASEARCHIVE THP SAMPEES SUBMCI-TL'D FORTHE�PULL HOLDING TIME ALLOWED.UNLESS OTMER ARRANCEMHNTS ARE MADE., (M.T.B.E.,T.A.M.-E.,E.T.B.E.,D.LP.E_,T.B.A j <br /> Y H B BAILER BI ANKS COLLECTED IN THE FIELD. F.B.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> P1NK,:FISLUCOPS WHITE fiYELLOW-To LAB.WITH SAMPLES 1'ELLA[�''-RL DELTECHC.O.0-FORM 98 <br />