Laserfiche WebLink
rw r_'7 r m` r` r ' [� r— r77 <br /> � <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB.TRACKING It: _____________.__________ <br /> RECORD OF <br /> (� DATE RECIIE'VED: jj---------__- - <br /> DEL-TECH IIII' i.'AVM:II I'DI.I IA E I�GEOTECHNICAL <br /> EOTECHNICAL E IYSqII.HUIIT I IPPIi!pII# <br /> I-OIV:IIlIi.RI TIIISERVICES <br /> ERVICEiS.l,I Ir,i !,i.11=`.[ i�i€.I,IIIIrX Ir• IIIjiFppV!-�,LAIAppFB,., <br /> .IIi!Nt(Fdv&�xI1V1IIOIIWIII-CI�-E-WI-5ETf-S�f <br /> IO�l:IwFE I-II-'WII <br /> �a <br /> ---------•------'•-i_ma-.�--- <br /> y.-•3--- <br /> ►--� <br /> ---#�-3-! <br /> - <br /> _- <br /> ---------- <br /> ___•_____- <br /> -_--_ <br /> 1064 OLIVE AVENUE,OAKUALE,CA.95361 ---- ] ` � <br /> - - t-[20 ) 4 -857 � VL_ 4-- <br /> FAX -(209)847-7744 � <br /> CALIFORNIA CONTRACTORS LICINSE#657366 CLASS"A"ENGINEERING PH.# CONTACT: - M <br /> OR# ------- ----------INVOICE P.O.# <br /> ,f'hl IhRflllfI r LAB.ANALYSIS <br /> FAD '?R <br /> T: SITE SAMPLING MAP <br /> (ND" <br /> AE- PROET: <br /> SS• CITY- O <br /> 'ERSIGNATURE• O do2VU <br /> WArSISBY: TURNAROUNM . DA <br /> DATE TIME TILca <br /> E -_- <br /> TYP _-_--�--__- <br /> - <br /> - <br /> ' <br /> i'IiIII IIIIIII�IIIIII REMARKS/LAB.I.D.' <br /> 1.3 <br />' 3.): <br /> s. - 1D <br /> 7) <br /> 10} - <br /> 127 <br /> , <br /> I <br /> L REZ]rIWF-SFTE'�,BY W45� <br /> Z't REi'EIVFII HY:. h1_/Tug . <br /> x s �' SAhIPLINTEGRITY/CONDITIOIV <br /> E <br /> !� z ` Vy <br /> Z / RECB[VED COLD 8c INTACT/YPS j Not - <br /> RF7.IN 13I�D HY` -Qu DATE I'FIIdG ns�n®BY. AIR 13U88LES IN V.O.A.'S /YES NO yLI 5 q <br /> 7 ,f CUSTODY SEALS INTACT I YES NO( j NIA ( 1 <br /> RFT.1NQl7I5E�B1 - RBM1VED BY: DATE 177ME . <br /> PRESERVATIVES USED ! YES NO <br /> ,NOPE-P1F,ASE ARCNIVETHH SAMPLES <br /> SUBMITTEDFOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE: 1'.A.M.E.,,E.T$.E.,D.I.P.E.,T.B-A.) <br /> B B BAILER BLANKS CQLLFCTED IN THE FIELD. F.B.=FIELD BLANKS COLLECTED IN THE FIELD. <br /> PINY 'PYELO COPi WHITE&YELLOW-TO LAB.WITH SAMPLES ' <br /> YELLOW-RETURN TO CLIENT WITH RESULTS DEL-TECH C.O.C.FORM 99 <br />