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-- ANALYTICAL REQUEST I SAMA CRAIN OF.CUSTODY-- LAB.TRACKING #)f------------------------ <br /> . .� C g <br /> RECORD OF e`f . 7 (,�` l` y "" ��..�.. <br /> �r, � DATE . <br /> � � LAB.INVOICE TO: _--. --�' C_h_ ......_--------------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES ! ��, <br /> 10624 OLIVE AVENUE,OAxDALE,CA.95361 -- � '-� ----------- -�� - � -- --------915��------------- <br /> OFFICE-(209)847-8757 ! � <br /> FAX -(209)847-7744 PH.# (-'.9 ---)54'. •CONTAGT: -- - k ----- - .a._=-•--------------------------- <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING <br /> O --------------------- O C ----- ----------- RAM -- -- <br /> j3i 1 ' €.'i, -€I-i���I I `I - 3 - E - I'I i11 if!',:i,If !II•' ♦D <br /> e=-4�iilf E� GII II f"[6'ri'I' ill���;I �-"��il�l��li I li 11! €ifllif I!:1kIELiJI II I'I�I'f a >;li i,fl I'luii 1in11311 lil�l�l'��u li till!I I�I'I!I LAB_ANALYSISREQUESTED(PLLASEPRIN'i) SITESA, �pl1�1�1'MiYI <br /> -"+ QIIxt7tly - <br /> CLIENT: _klAa CONSULTANT: <br /> SITE NAME: , j­% PROJECT: ` j E <br /> ADDRESS• CITY: <br /> SAMPLER SIGNATURE: BIN <br /> - <br /> SHIPPED VIA: VVAiBILL <br /> ANALYSIS BY: TURNAxOUND TIME: x DAY(S) <br /> SAMPLE LD.9 DATE TIME CONTAINERS TYPIC MATRIXALI-ILL <br /> III !1 I�; ii� l!i ,Iii,'i l i li'.1, I',i "i.I Iluiih lli'����I' ,bill REMARKS/LAB.LD.SIS <br /> 4.) r 1" 1 ; <br /> .� <br /> 5.) <br /> i <br /> 0.) r <br /> f L) <br /> 12.) a <br /> l3.} 0 19r <br /> 14.) <br /> RII.INQUlSFED SY: D BY: ,� 1, _. ..� ,,? SAMPLE INTEGRITY/LoRECENE <br /> DATE/TIME <br /> SIGNATURE y` `� ' z� 7'3 RECEIVED COLD&IITI'ACT I YES NO <br /> DA'iEITIt / DA)JH <br /> RF].INQUIsk♦ED BY: tri r`` ,. _. ---� % jr} �, ,.5 El.NA <br /> o er: ,r ! ,i AOt BUBBC.ES IN V.O.A.'S !YES I NO LINES M- <br /> 1�- jF3 CUSTODY SEALS INTACT ! YES ) NO ) WA <br /> ) <br /> r. !..'. IIRI~ 1 �. .,, --9 <br /> DA1E777ME DA717 MT1 <br /> x>LL[NQuI51�nBY: DBY: PRESERVATIVES USED 1 YES 4-I� NO ( <br /> I URE1 V <br /> NOTE: PLEASE ARCHIVETHE SAMPLES SUBMHTED FOR THE PULL HOLDING TIME ALLOWPD,UNLESS 0'II1ER ARRANGEMENTS ARE MADE" <br /> B.B.=BAILER BLANKS COLLECTED IN THE PTELD. F.B.=FIELD.BLANKS COLLF.CIED IN THE FIELD. <br /> PINI(.FIEF ITf1)P{" W1117RR,I'iflnll"-TII1 AR It'ITII cARIRI Fc A"RII/w-VFT1TVNWWT FFNT"WT7"DFCIII TC AGI"T4!•11!'111` KnQFL1 UR <br />