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-- ANALYTICAL REQUEST I SAM CHAIN OF CUSTODY -- LAB.TRACKING #- ----------------------------- <br /> FIECORll OF DATE RECIEVED: ------------------------------ <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES I-AB.INVOICE TO: ----u - ------------------------- <br /> �------------- <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 Al-k 4-___-ot�V �_-`^-'--1-----z-`r---�- <br /> OFFICE-(209)847-8757OD <br /> FAX -(209)847-77414PH.# ( --)-T LllZq-S-+CONTACT: ------- <br /> CALIFORNIA CONTRACTORS LICENSE#657366 l CLASS"A"ENGINEERING <br /> OB# __ —._---_I OICE ti------ ----—.. P.O.# ------- ---------- --------- <br /> 11 i h I 1 k i kli:111 I!k I IIII E I'ki 111 I kl!Iill,f '�:111 'i klj III! 1 II kl' !11 1 '111 -'III if111 kl k1 Irk I I III II II II k Ilta,',11,1 I,I,I,, ,kl,II.I,IIII, I E Ii.11.,1,1I?.,,dluil, I a Ill,lillilll,,ll,l,1 Il,lk 'I,kl,,l II,1...I IFI i,„I. I,,,:Illliink LAB.ANALYSIS REQUESTED <br /> UN,, <br /> SITE SAMPLING MAP <br /> CI.n�NT: Y.W�, D ► gCONSULTANT: �- � I `Norm <br /> SITE NAME:ADDRESS: 1 A, Ilk <br /> ST: CA \ 40 K - w <br /> SAMPLER SIGNATURE- ! o d m 1-4 <br /> sfflrP'ED VLA: WAYBILL J: <br /> ANALYSIS BY: TURNAROUND TIME: DAY pal w W <br /> SAMPLE I at DATE nME CONTAINERS TYPE A"Tmx I 1 i ill I 1 I II I II illi-' ►I! 111 III ' ! REMARKS i rte.r n. <br /> la ,� <br /> �a <br /> sa - Zl e <br /> 44 b L b <br /> 9a <br /> Tww <br /> BY: <br /> Asa �•.°�` _ <br /> SAMPLEINTEMU73'ICONDITTON <br /> S �C Y- i ( �' r/f !x. AJC <br /> /wb <br /> RECEIVED COLD&INTACT ! YES NO <br /> DAMITME <br /> Ry VZMWED BY: AIR BUBBLES iN V.O.A.'S ! Y—E-S ` NO LIN 5 #- <br />'✓'`.�. - - 1 (51@IATUREI - / CUSTODY SEALS INTACT / YES.- ) NO( 1 NIA i 1 <br /> DATF(TIME <br /> By,. !Sr', - ASC�IYED BY: PRESERVATIVES USED 1 YES NO <br /> 7lOfE PLEASE ARCHIVE THE SAMPLES SUBMrI ED FOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHFRARRANGEMENTSARLMADE. * (M"T.B.F-,T-A-M.E.,E_T.B.E.,D.Lp.E.,T.R.A.} <br /> BAILER BLANKS COLLECT CD IN THIE FIB-D. F.B.=FIEIS)BLANKS COLLI <br /> "•' "-`""i_ L <br /> PINK.FIELD WHITEdkI'F1L0�5'•TOLAB"WITH SAMPLES 1'ELLOW-RFTURNTO('LIENTWITIIRESULTS <br /> DEL-TE C.[LC.FOR M 96 <br />