Laserfiche WebLink
SAMPLE CHAIN OF UUSTODY RECORD <br /> .' Lab. Analysis by <br /> DE1 L TLH, GEOTEC�]ICAL..SUPPORT (P�.EASE PRIIV I) <br /> :IOK24.OLIVE AVE: OAgD�1LE; CA 10FORNIA 95361 LAB.IlWOxCE TO <br /> OFFICE(2")say-gis� PH.# <br /> FAX (?A9)"847-7744RECORD—LOF <br /> CLIENT L CONSUL,TANT: .- 1 �'�CILL• <br /> P.O.#/MOICE <br /> ANALYSIS <br /> REQUESTED SITE SAMPLE MAP <br /> • ,��� <br /> PROJECT'I SITE NAMF� �L: �G�.l +� ��?" �� (�rrFn.�rvn c�cxsa BELOW) <br /> toRm <br /> u,z cry a • 4 <br /> STR <br /> Crff dA- 1 0CPO <br /> VU:' 1p <br /> Ay <br /> E 9.) <br /> 7Rm: <br /> NUMBER TYPE SMIPIl c► o n. 75 o "a� . <br /> SAMPLE"LOCATION r' DATE TIME zCK <br /> Q9N7A111t$t4 [bdQOSl114} M.4TRI% r m � m Go <br /> RE1k�1I1eRS/ SPrSGl lL INSTRUCTIONS BEIM <br /> 61m ms <br /> �mexirFttwi7a�i}rQ: ",p ,�amAm� aarrsiWrntL ;.. gt ra,wV <br /> 615 66) <br /> � Z <br /> Ij <br /> Io. Ao 3 R r �$�J <br /> ),. <br /> _.•., �/a� �1� ••Z4,WZZ rNMl[irr,onlmmox&TvPMAxovxn rreN •• <br /> 0 R=nV�COLD A-IKrACT 1 YES f NO'jktXi <br /> n• ATE/TIME!- $Y:patwTt�a DATE/7114M - PR&SBRYATIV&S[SSD- 1 NO. <br /> BY: CS mwy SEALS INTACT l YES NO } MAX <br /> AIR BURBLES IN VAS'S I YES �, } NO LINE! <br /> TE 1 TIM&.' EIVED 8Y:pwfuTueti AT81 TME <br /> QUISM air:e;o� TVRNAltO[!NA r7ilrs: CaEcxoxB <br /> INQUISH®81:aKx*iuu+ ITE r TIhI>r ECE}VEU E3' /l$ORAAT8!TSM$ <br /> 1.[IOt1R •HOUR.�' ?, 5•PAY-/10-DAY ( } <br /> .Tnuv SAMPLE ARCHIVING WILL BE 3d DAYS FROM THE RATE SAAiPLE WAS COLL£CTID,UNLESS OTHER ARRAINGEMEA'1'S ARE MADE. DEL-TECH FORM CO C. <br /> ar— ...--O� --T*T C TL:A NAC V011 . .. <br />