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I SAMPLE CHAIN 41T _US'1'0DY `R1KU0k ) _56z <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE- PRINT) Lab. Analysis by : <br /> I0624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAR. INVOICE TO : rvfC1 <br /> OFFICE (209) 847-8757 <br /> FAX (209) 847-7744 RECORD _t__OF .# <br /> CLIENT / CONSULTANT: L L P.O.#/ INVOICE# <br /> ANALYSIS REQUESTED SITE SAMPLE MAP <br /> IMQf <br /> PROJECT/SITE NAME: (ITEMIZED AND wD CBECD BELOcnW) r0.CA. <br /> �� � <br /> ITH) <br /> - <br /> l �j W O U z <br /> STREET: CITY: �S 1 ""i1!b r` STATE: 1 o <br /> a B5 <br /> om LO U� W O � W <br /> 1-'�'r HIP VIA: c m = c z m U) s • ,y � <br /> R:(PxDvr�sicttATaala) AYBILL# m .92o �_ C) cc a <br /> CD CD <br /> Uj <br /> SAMPLE LOCATION DATE TIME NUMBER TYPEAMM�PLE z a a x o 0 o C.-. <br /> (MUNTIFICATION} AfIHJDAYf1'R- BDUR J MLN. OF (CRAB OR �,.� d 2 CC '; O N N <br /> UONTAlNERS L7vMPo5J7E} r r r C6 m ao a0 r REMARKS/ S�k,)STRUCTIONS BELOW <br /> I-) "1 l <br /> 2-) '7.1 -7-, <br /> 3.) 1D <br /> 4., .. a <br /> 5-) hu-4 _a t <br /> - S <br /> �., l 01 <br /> $.) ,J 2 p.l... <br /> 9., 's <br /> > <br /> 11-7 <br /> ••SAMPLE INTEGjuh-/CONDITION&TURNAROUND TIME •• <br /> �1, / <br /> q�� REC-EIVED GOLD&INTACT l VES NO { <br /> IN SHID 8Y: .w r.E� ATE!TIME <br /> RECEIVED 8S':atrwrvRc. ATE!Tflvf / PRE56R\'AT[4'�USED n�, -YES V NO <br /> CUSTODY SEALS INTACT 1 YES ( ) M) (I ) TWA <br /> AIR BUBBLES IN V.O.A:S r YES ( ) No l 14 LINE R <br /> HED BY_nc <br /> �Ar RECEIVED Bl'- Tv�E� ATE I TIME. Y <br /> TURNAROUNDTIME: CNECKONf. <br /> 401197 <br /> 1 YQLISFIED 6y':aK: .nnATE r Tlnrr.:/ �9 - - r nr..xnuwn )ATE/TIME: '+ 11000 } 48-HU[IR S-DAY (6-DAY <br /> NOTE: LABORATORY SAMPLE ARCHIVING WILT., BE 30 DAYS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGEMENTS ARE MADE <br /> PLEASE RETURN DEL-TECH'S ICE CHEST AND 6- `JE ICE AS SOON AS POSSIBLE. THANK YOU DFL-TECH FORM GO-C. <br /> Pink - Field Copy I White & Yellow - To Laboratory with Samples I Yellow Return to Client with Results <br />