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ANALYTICAL REQUEST/SAMAR CHAIN OF CUSTODY-- LAB.TRACIONG P. <br /> RECORD 7—OF�'� DATSRECIEVED: <br /> LAB.INVOICE TO': .- �� <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 <br /> OFFICE-(209)84748757 7 <br /> FA7C -(209)847-7744 <br /> _ Eli.# (----------)---•------._____.-•CONTACT: -.�---- - _ <br /> CALIFORNIA CONTRACTORS LICENSE#6S7366I CLASS"A"ENGINEERING <br /> OB# --I OICE#-••-- -- <br /> ---'P.O.# --- <br /> I-, I i1.��11, I i �_.II mill` 11,1,111111 f,!, -III ,.1`-1111 ` I 1 ` I it f N- III f 1113 Ih 111 it I 1I i I II;I i„ I - -- <br /> ,,, ,.,„ „I„ `I,,I u I , , I ,III 1 :I Iil LAls ANALYSIS ILEQUFSIFD SITE SAMPLING MAP <br /> (Z.EENT: - OONSTILTANT: <br /> we <br /> 511E NAME: PROJECT: D + I <br /> ADDRESS: + CITY: % ST.: #! yy d <br /> SAMPLER SIGNATURE L Q o m F a o <br /> SHIPPED VCA: WAYBILL#: m m m <br /> rZ <br /> N <br /> ANALYSIS BY: TURNAROUND TIME: DAY(S) <br /> i;`t SAMPIBLD.I ;DA TLIlE CONT,1l ERS TYPE MATRf1L l I ihl I,f!... Ilii'... ,'+,l,�. I',! �1'' „I;a ,i+l' REIIIARI[S/IAB.LD. <br /> 1 [y <br /> z.) ---z, 1 <br /> �., mwl - -2, - Tk-l!kl w <br /> <.) - 1, <br /> 5, .. <br /> ARM <br /> 6.) <br /> �., tLl v <br /> 9.) <br /> 1D,) <br /> l 1.) <br /> 12.) <br /> 13.) <br /> 14.) <br /> 15.) <br /> /D�RI�!2T6aEiwass�neY: Di Rbc> vFDeY: <br /> TIONSAM LE INTEGRITY/CON <br /> {SIONATVRE) J * — )) lti / REC6IVEDCOLD&INTACT 1 YES NO ( ) <br /> RE.INQUISHM 9Y: kEcEIwED BY: DA WASE <br /> AIR BUBBLES IN Y.O.A'S ! YPS NOV`/)LIN 5 N- <br /> I <br /> + {SIDNA[11Rf) CUSTODY SEALS INTACT 1 YES ! NO f 1 NIA { <br /> xEzaiQusst�neY, Rr�cEryDATE�TIME <br /> oDsv: PRESERVATIVES USED ! YE NO f <br /> (SIONAIURE) 1,,^. <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE PULL HOLDING TIME ALLOWED.UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T.B.E.,T.A.ME.,E.T.B.E.,D•I.P.E.,T.B.A.) <br /> B.B.=BAIU-:R BLANKS COLI-ECTED IN THE FIELD. F.B.=FMM BLANKS COLLE=)IN THE FIELD. <br /> PINK•FIELD COPT" WHITE&YELLOW-TO LAB.WITH SAMPLES FELLOW-RETURN TO CLIENT WITH RESULTS DEL-TECII C.O.C.FORM 9i <br />