Laserfiche WebLink
• • . .-sr+^+rr'lt`r-.. �. -. ,.-:.,n.. ,.-. 'a•:�,rc�.ke:.-.e5,�-i:4'.G+q�':.."``+t,+-:a`•i,� �=- r,. .. ; <br /> t SAMPLE CHAIN OF CUSTODY RECORD <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 • LAB. INVOICE TO : <br /> OFFICE (209) 847-8757 _ V t <br /> FAX (209) 847-7744 RECORD' OF 1 PH.# <br /> CLIENT I CONSULTANT: T> G ' LL P.O. #/INVOICE# <br /> ,NOW <br /> rO G''��'�} p�� ANALYSIS REQUESTED SITE SAMPLE MAP <br /> PROJECT/SITE NAME: 4�R+•1 ATaTQ N iT (n'EMIZED AND CHECKED BELOW) •"�`� <br /> TIORTH <br /> STREET: N D f . - CM: �v� ' • STATE. <br /> ves <br /> ',py �- <br /> vu: r� • ^ <br /> SA R. <br /> (PRwran slGtl/}T<IRB) .. AYBILL <br /> 4 <br /> SAMPLE LOCATION DATE. TIME NUMBER TYPE :yam. <br /> OF. {GRAB Oi <br /> "(mENnirrirroxl }tra�Arlix soft>:la�lry taoNTAlNEIts muros!>s� ;STRIX REMARKS/* SPECIAL INSTRUCTIONS BELOW <br /> -TES u TWE '11�Z- <br /> IT kyo <br /> 4. POSIBLE , <br /> yr 1I <br /> InWTF11 <br /> 46 <br /> ztm 7 " <br /> 9� +x SAMPLE INTEGRlfS'/coNDiyzoN&TURNAROUND TIME •• <br /> �//8 <br /> - RECEIVED COLD&INTACT ! }'ES NO t } <br /> H®BY: c >um ATE/TIME: �L7 RECEIVED BY:awuwnAer ATE/TIRO PRESERVATIVES USEDAj 'ES NO <br /> CUSTODY SEALS INTACT ! VES ' NO N/A <br /> s - - AIR BUBBLES IN V.O-.A.'S1 YES y No LINEI - <br /> INQLIISHED BY DATEITIME., RECEIVED BY:MGMTURE, DATEI TIME: <br /> TGRNAROFNDTIdfE: CHECK ONE <br /> ELII,fQOISHED BY:awrun�E ATE/IN MEECEIVSD BY LABORATORY:.narEnll MUMMMIE• ATE!TIME: 21-1i(llk } JS-HOUR5-DAYi IU-IM} <br /> NOTl+ LABOF RY SA?4IPI E ARCHIVING WILL HEM)DAYS FROM THE DATE SAMPLE P 'Y>LLECTED,L:NLESS OTHER ARRAIN(:UMENTS ARF, MADE. <br /> -ECH" :CHr- "\'D B­ -ICF t­-^ON Ao" '-,,S1B1_.:. .KHAN, — TE% `\9 <br /> ! Vtfh..n V. Vn11, '-V- r ..1.,.-..• .....h C.......1..� 1 ~Vnljw,.. "Dw....-.. rn !"I�n..r ...irj, D..�..Irr ~— �. <br />