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A. <br /> I SAMPLE CHAIN Or CUSTODY RECORD <br /> DEL-TECH GEOTECHNICAI. SUPPORT (131TASI: PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE. t)AKDAI,E, CALIFORNIA 95361 I.AB�INVOI 'E TO <br /> OFFICE (209) 847-8757 l VGZ 6,u V /W <br /> FAX (209) 847-7744 RECORD �OF 1 PH.'# <br /> CLIENT / CONSULTANT: L, P.O. #/ INVOICE # <br /> (S1W p} ANALYSIS REQUESTED SITE SAMPLE. MAP <br /> PROJECT I SITE NAME: (���T-+ �- (ITEMIZED AND CHECA D BELOW) <br /> T11,RTH) <br /> STREET:`\D Lr`"� CITY: p r-.J t)O STATE: <br /> L� �?.�� HIP VIA: 1�' • 0 } <br /> SAMPcPRINTEO S1GiVATURF) AYBFLL# <br /> SAA <br /> SAMPLE LOCATION DATE TIME NUt1fBER TYPE SAhfPLB <br /> OF (CRAB OR <br /> (IDENTIFICATION) MTHlDA3'!1'R. HOUR JM1N. L10NTAINEAS LIOMPOSITE J h1ATRIX REMARKS/* SPECIAL INSTRUCTIONS BELOW <br /> J 6Uarr'Yf Z- <br /> 3.) 1 — l C �Z 7Z� WE; LAW T�� r S` , <br /> 4.)Y�I - �r D J! v ��-7 ` L olr i/c+F tiav1w `�" RvD <br /> 5.) 1..tJ1 dfLfl EA—Tb <br /> 6-) auAgmPt <br /> 7.) tow <br /> 8-) <br /> 9.) <br /> lop <br /> ' Vq " SAAIF F.lATECRITY 1 CONDITION&TURNAROUND TIME •• <br /> /nQ RF.['EI►"FD('ULD A INTACT I) Vrl; } NO <br /> RE INf1 1SHED 81': �r, ru�e� )ATE I TIME: RECEIVED BYiaw—nm ).ATEI TIME: PRESERVATIVES USF,I)JkC L.VEN NO <br /> (-(!STODV%KAI S INTA(T / YES NO { ' N/AX <br /> AIR BURBLF5 IN V.O.A.-S I VES } NO LINE K <br /> ELINQUISHED BY:aw vax, ATE!TIME: E('E1V :sn:r+anitc. )ATE!TIME: <br /> /�� Y�+Nr'I�11 V ��� � T!:RN aRb[::V!)TIAIE: ('IIF.C'R' <br /> .l.1NQlYS11EDBV:an:.,.nxi 1ATE/Tt.t>IE193a h. .Fl1 Il Yl_4B(lRA7✓'fCl`R1':.�., - )ATE/TISIh:: 011-1141UR 4N.IHItR , S.OA% ( iI).DAY <br /> NO'TF: LARORATORY SAMPLE ARCHIVING WILI, SF:311 DAYS FRMI"THF:DANE:SAMPLE WAS t'lll,l.!'a:TFa), l'NLF.SS(YTHI':R ARRAINCENIF:NTS ARE MADE. <br /> PLFASE RFTURN DF1,=TECH-S ICF:CHFS'T AND SLUE ICF AS S(X)N AS POSSIRI,L. "THANK Y(W DISI.-TECH-I-'(IRM ('.u.('. <br />