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--ANALYTICAL REQUEST I SAMI. -, CHAIN OF CUSTODY-- LAB.TRACKING #: ----•~ ..-....-.... <br /> RECORD of � DATE RELIEVED- <br /> • ..... _... ::� -- — . -......-- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LA11_INVOICE TO. ............ <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 _..-- -. .....1_!AK1. --.........-- <br /> OFFICE-(209)847-8757 <br /> FAX -(209)847-7744 � IPH.0 {--..---- --)---- 2-13TONTACT: —T <br /> CALIFORNIA <br /> - ------ <br /> CALIFORNIA CONTRACTORS LICENSE#6S7366/CLASS"A"ENGINEERING ' <br /> OH# ----------------------INVOICE# .—----------------.-._-- <br /> IIII LAB,ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT: lE coNsuLTANT: <br /> SITE NAME: s PROJECT: S D + , Z >; ccl <br /> ADDRESS: l - r C : sT.: H o <br /> SAMPLER SIGNATURE: a rh <br /> .. ] <br /> SHtpPED VIA: WAYBILL � <br /> ANALYSIS BY: a TURNAROUND TIME: DAY W W <br /> SAMPLE W.t DATE TIME CONTAINERS TYPE MATRIX I I I { I REMARKS/LAB.LD. <br /> 1) O , . <br /> 3.) D- Kv <br /> ':2- <br /> 6) -- �l D <br /> -) 3 <br /> 9) <br /> 10.) e b <br /> 11.) D' <br /> 13) <br /> 14.) <br /> l5-) <br /> R�e+ou,sEnmsx: 1� RECEIVEpBx: v BAMPLE1NTEGRITY/C0NDMTION <br /> 1 q <br /> csicB�A�nRtSJ <br /> 1 RECEIVED COLD A INTACT/YES NO <br /> DATEMM TE/77trlE <br /> RFL4NQUMM BY: RE MADBYo %322., <br /> AIR BUBBLES INV•O.A.-S /YES NO LI S 7— <br /> fl G (SIONMMJR [ 6 CUSTODY SEALS INTACT I YES NO N/A ) <br /> DAIE A7E 1 TA16 <br /> RELINQUI51WBy! RECEIVMBY. Q PRESFRVATIVESUSED ! O <br /> �3�z- (9�NA7VR4} (J i a�- P V <br /> NOTE:PLEASE ARCH[ SAMP SUBMITTED FOR TIE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T.B.E.,T.A.M.E.,E.T.B.E.,D.I.P.E.,Ift.) <br /> B.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B.=FIELD BLANKS COLLECTID IN THE FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB.WITH SAMPLES YELLOW-RETURN TO CLIENT WITH RESULTS DEL-TECH C.Q.C.FORM 99 <br />