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A�__ <br /> g—3 <br /> op"clistoby -_ B.TRACKING #.. ...... <br /> ' ANALY --------- <br /> Standard <br /> DEL-TECH-SVC DATE RECIEVED: ----------------- <br /> py-e-Login ID#: 330043 <br /> vvicE TO: .... 6-e- G.T&........................................ <br /> DEL-TECH GEOTECHNICAL S, <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 .. ......... .. .. I---------- ...... <br /> oMcE-(209)947-8757 PH.# ('tA72pL)-)M-.114CONTACT: ..__..._.. -----------------------­-------------I............. <br /> FAX .(209)847-7744 <br /> CALIFORNIA CONTRACTORS LICENSE#657366 CLASS"A"ENGINEERING JOB# ---------•-----•--•--INVOICE#-_-----_____.__-__._-_---P.O.# ---------------..........------------ <br /> T <br /> LAH.ANALYSIS REQUESTED <br /> SITE SAMPLING MAP <br /> (Noll" <br /> CLIENT: 015:11 CONSULTANT: <br /> PROJECT: <br /> SITE NAME- <br /> 63 [L1 <br /> : .: 4 �5 <br /> ADD CITYST9 <br /> SAMPLER SIGNATURE: LA-T 0 <br /> i <br /> a ;;, <br /> C9 D a <br /> SHIPPED VIA: WAYBILL#: -.< <br /> '�AY(S) <br /> ANALYSIS BY: TURNAROUND TIME: 4�?r Orj�� /1 tb;'�A Y(S) w w <br /> j: ���jf:jjq! !I;!!!: Td!]lililiq i!11;11: <br /> REMARKS1 LAB.I.D. <br /> SAMPIR LD.0 DAT TIME CONTAINERS TYPIE %2;r;rTR1X 11.1 : <br /> L <br /> \m AA rvn w 1 1 ry <br /> 3.) 4 VD* <br /> 5.) ('2 <br /> 6.) -A <br /> 7.) _TN4,k&)- <br /> 2-3 <br /> LW . <br /> ZG 11.) p') 1p — D, b <br /> 12.) 5A fa \R-2--s -1p GAAY= Zxuwl9p 3;ix <br /> 13.) e N v 2,.6 <br /> 14.) Svc t> V <br /> DATE <br /> RECEWED BY: SAMPLE INTEGRITY CONDITION <br /> c RECEIVED COLD INTACT I YES <br /> (SiONATURE) Z) NO ( <br /> (SONAIVRE) <br /> DATE[TIME <br /> 1 2.' <br /> ROU <br /> 7L--R" <br /> 13.) <br /> �Jjl 4 <br /> 15) <br /> AIR BUBBLES IN V.O.A.'S I YES NO LINE(S)N <br /> REL <br /> u CUSTODY SEALS INTACT <br /> I (SIGNATURE) CUST I YES IX NO f NJA f <br /> DATEiTIME PRFSERVATFVESUSFD I YES 1 NO <br /> RELINQUISHED BY: <br /> _U JYPF OE MUFBVAI <br /> kn lz;31 <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMrrrPD FOR THE PULL HOLDING TIME ALLOWED,UNLF..SS OTHER APLRANGFMENTS ARE MAN:. (M.T.B.F.,T.A.M.F,,E-T.B.F.,D.I.P.V.,T.B.A.) <br /> B.B.=BAILLR BLANKS COLLECTED IN THF FIELD, F.B.=FIELD BLANKS COLLECTED IN T111:I'll`I,D. <br /> PINK-FIELD COPY WHITE&YELLOW-T0LAB.WJTH SAMPLES VELLOW-RETURN TOCLIENT WITH RESULTS C.O.C.FORM 98 <br />