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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY— LAB.TRACKING #: <br /> RECORD OF DATE RECIEVED: .-`= <br /> LAB.IINVOICE TO: �`�- - <br /> DEL—TECH GEOTECHNICAL SUPPORT SERVICES <br /> --- -� __�J_�`� '�.? �, h ,,,...--__----_-._ <br /> 10624 OLIVE AVENUE.OAKDALK CA.95361 <br /> OFFICE-(209)86748757 tt--- ---may <br /> FAX -(209)847-7746 PH.# ( -) 7ri CONTACT: -----_ ..____w__.. <br /> CALIFORNIA CONTRACTORS LICENSE N 657366/CLASS"A"ENGINEERING CONTACT: <br /> I tt pC6NSU:LT <br /> OB RI OICEf --- -------P.O.4LAB.ANALYSES REQUESIF� ---- <br /> SITESAMPLINGMAP <br /> CLIENT: ANT':SITE NAME: ca <br /> Alt <br /> ADDRESS a ST.: • u O g <br /> SAMPLER SIGNATURE: . � �' p <br /> SFITPPED VIA: WAYBILL 6: <br /> ANALYSIS BY: TURNAROUND TIME: bAY1. 3 X� <br /> ! SAMPLE I.D.0 OATS 77ME CONT"NratS TYPE MArIQIx 11 f1301101110 REMARKS I IAB.I.D. <br /> I,) � 1 <br /> as � <br /> 34 <br /> N <br /> sa o - <br /> 64 M <br /> 71 L 4 <br /> >Ia . <br /> 9} <br /> IW <br /> Iia <br /> I:w <br /> 134 <br /> I4.) <br /> IS.) <br /> B>321ou15RMsY: Q BY. r� #�7j7DIIE <br /> PTs" G CO AIT70N <br /> (SEMATURE)/DA D A INTACT I YES NORE18iQU[SF®BY: � � p2� RBQ+JVE•II BY: N V.O_A.5 I YES NO LIN S I <br /> / �� � �� S INTACT / YESDAILITUM NO( N!ARELINQUMED BY: RBCEWED BY: <br /> S US13D I YES NO <br /> I (MATURE L <br /> NOTE: PLEASE ARCHIVE THE SAMnES SUBMMD FOR THE FULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. (M.T B E.,T A.M E.,E.T.B.E.,D.r P.E.,T.B A.) <br /> B.B.=BAILER BLANKS COLLECTED ID IN THE FIELD. F.B.=FELD BLANKS COLLECTIN THE FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB:WITI1 SAMPLES YELLOW-RETURN TO CLIENT WITH RESULTS DEL-TECH C.O.C.FORM 98 <br />