Laserfiche WebLink
-- ANALYTICAL REQUEST/SAMP CHAIN OF CUSTODY-- LAB TRACKING # <br /> RECORD J— OF BATE RBCIEVED ----------------- - <br /> LAB INVOICE TO <br /> J <br /> -TECH GEOTECHNICAL SUPPORT SERVICES �q "�7 <br /> LIVE AVENUE,OAKDAIA CA 9SMI t�-�---133 2 ADPL Vii!l:'t— UNI.-1.-----. 1 <br /> E-(�847-8757 a.�.FAX (209)847 7744 PH# {---- ) CONTACT - w <br /> ORNIA CONTRACTORS LICENSE#6S 13661 CLASS"A"ENGINEERING <br /> - O O ----P O # _ <br /> II.1111 <br /> 1111 11111111117,1111 I II I'i, I III I! I I I I I. I# I I`?#ill i,i I III, u'113 # III I Ih!ill LAB.ANALYSIS REQUMM SITE SAMPLINyG�MAP - "• CONSULTANT60 <br /> ME• LL , PROJECT it -Sr . 0 � �!SS :1F1 1.. CrrY• � K o S t *AF1SIG - _ "� d � ��r►i= �. G �� - wAYsnL$ -".....v_ _ - � �? q � � � � m � VI - - -� - <br /> _ d' <br /> i 16ANALYSISBY: 1iTRNJ1ROUND TIME• DAY W w W - ^ - " <br /> ,= <= sAarPLsrus n TR�_ a CONTARVERS irr8 _ MArxrx lil #{II II SII ifllllI lilihi I,!IIII I) ul I I, I - REMARKSIIAB I.D. w� _ <br /> 143��,�rd _��.r•,=-,,-��� 1� , ^-� .c��� - _ � _ .. .• - - _ _ <br /> DjA� - n - . � DATE l T4i[E ., f <br /> f_ _� f f ��lrL' <;� ;�_ � � SAMPLE I GRI ICONDITION <br /> ! REiFIVED COLD&INTACf I NO( <br /> ..� ; r _ lDAWTVAE _ _ DA791TUAEr <br /> kHEiVtD B_Y Y y t Y. >M1 -- AIR BUH$LFS IN V.OA 5 !YES NO L N <br /> J �..rM: -J o 1 �i •�r_s 5 r! (81fiQ4AYSlAEI - - <br /> � f CUSTODY SEALS INTACT YES NO NIA <br /> B-Y` - Y - PRESERVATNES USED YEStloexo <br /> DA4EYE <br /> (iKMTLM TYPEVjam, <br /> 2 <br /> - - <br /> ! <br /> Lr <br /> 'NOTE1.Pil3iLSfi ARCHIVE THE SAMPLES SUBMITTED PDR THE RILL HOLDING TIMI?AIL OWED UNLESS OTH R ARRANGI�NTS ARE MADE _ (MTBE,TAME,$TJ3E,D IP E,TBA) <br /> B 11 BAILER BLANKS COE XMM IN THE FIELD t ` >F-B =FIELD BLANKS COLLEFrM'IN THE FIELD Y <br /> PINK-L'IEIDCOPIWH1TE&IELLO% TOLAB WITH SAMPLES > ]ELLOW RETURN ToCLIENT U1THRESULTS DEL-TECH COC FORM96 ' <br /> r <br />