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M� <br /> ANALYTICAL REQiJEST/SAMPF CHAIN OF CUSTODY LAB.TRACKING #: <br /> RECORD I OFDATE RECIEVED: <br /> LAB.INVOICE <br /> nr,,. Twrm <br /> [DEL-TECH GEOTECHNICAL SUPPORT SERVICES t-------------------------------------------------------- <br /> L-&L----------------1-- <br /> -rDt.lq bgolc — <br /> 10624 OILIVE AVENUE,OAKDALE,CA.95361 ...... --------—------- --—------------------- <br /> OMCE-(2M"7-87S7 <br /> PH <br /> FAX -(209)847-7744 j "mvOTACT: <br /> CALIFORNIA CONTRACTORS LICENSE#657366 CLASS"A"ENGINEERING <br /> JOBf ---INVOICE# P.O.# <br /> LAB ANALYMS RFAAnCWM <br /> 11111 IlA'll <br /> i ! SITE SAMPLING MAP <br /> CLIENT:'V%W%Di commTANT: 4uxJc7— A-6,kc�, <br /> am NAARAIALLIN WtiaK.fttl PROJECT:AAD. 4Tk. k,W. = rTv& <br /> ADDRESS: T Sri Cm: ,qTa-e,-rbW I <br /> SAMPLER SIGNATURE: bo k- a 11 <br /> SEaPPM VIA: WAYBILL C <br /> ANALYSIS BY: TURNAROUND TIME: > DAY1510 WAR 1 <br /> s"FIZAr.al Amm TWE CONT"WAS TYPE MA TATX REMARKS/LAB.I.D. <br /> 2 -711'llckl ir-Al <br /> 2j ryw- 2... 1 1 1 15 <br /> 3 <br /> [4.) <br /> 61 <br /> 6.) <br /> 7.)-m L <br /> 1p <br /> 12J <br /> 13J <br /> 14.) <br /> 15.1 <br /> RELINOUISFEED BY: BY: DATEfIVAE <br /> '7////-;'� <br /> jdUL6jZffZQ=1 CONDITION_ <br /> PE <br /> ---BY M <br /> ;7/ <br /> TACT YES <br /> RECEIVED COLD IN NO <br /> 'S <br /> '9;- kfic"D BY: <br /> RIELENQULUCEDDY: ;7A 7/el AIR RUBBI F IN V.QA, I YES ( NO L,,-) LINKS)N- <br /> CUSTODY SEALS INTACT I YES ( NO NIA <br /> DATE/TIME <br /> REUNQUISHM W� RECEIVM BY: <br /> PRESERVATIVES USED I YES L,11- NO <br /> DA Ilb I f MAt (SIONATURE) <br /> X611=51 <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME ALLOWFI).UNLESS OTHER ARRANGEMENTS ARE MADE. (M.T.B.E..T.A.M.E..E.T.B.E.,DA.P.E.,T.B.A.) <br /> B.B.=BAILFR BLANKS COLLECTED IN THE FIELD. F.B.=FIELD BLANKS COLLECTED IN TifF F11:1.13. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB.%N'3TH SAMPLES YFLLOW.RETURN TO CLIENT WITH RESULTS DEI:TECII('.0.('-FONNI 98 <br />