Laserfiche WebLink
ANALYTICAL RE VEST I SAMPLE CHAIN OF CUSTODY'-- LAB T nvc <br /> RECORD. OF LAEL <br /> `ry _ s DAfE RELIEVED r. -�.�: <br /> IDEL-TECH GEOTECHNICAL SUPPORT SERVICES QlvolcETo•: :" `.+• �` = thy <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 <br /> OIrFi[E-(209}847-8757 - �•;-- - <br /> FAX -(2#!)847-T144 _.. =" PHA ( }-- -----�----COINTACT: <br /> CAI.WORNIA CONTRACI"ORS LICENSE#657M6/CLASS"A"ENGINEERING <br /> JOl <br /> B# <br /> OIC19# P.d`# <br /> 11 tl.il!�I! it nliiu I I� i�Illli L!:it I! II I ILll,i ri�l-Ili;,i;�IlIlIl3lI,�l I I'i!�I'In:�kill i 111111 li.I.,k,a;,!II, i i i..ii,lla I:I!� ikil,$:'iy`,{l{'1If it Ilip,i,III I I I_.iiI ill li I I I,,I II,iif!ui!l I Ili,!.Iu'l� LAL ANALYSS IOMM"M SITE SAMPL�VG'Hill <br /> MAP r� <br /> - .. <br /> c�.zsivr: CoiVSI1 TANT: <br /> SITS NAME::1280 PROJECT: ♦ ` alb 1 <br /> ADDRESS: S <br /> G71 Y: I.: <br /> a Ild 3 41 <br /> SAAM"SIGNATURE: o © :7► ; ;,.Y <br /> � lb <br /> sHD?M)VIA:' ` WAYBILL ••�•--• C? A 00 <br /> ANALYSIS BY: TIJRNAROLUND TIKE: DAY <br /> ;!Ilii SAbIrIBln / DAUB TBl6 coltirr41xERs Tyre MATAff ik!i! ' !.if IIi!I illi�li! ` i!!I1i�3! ' Ilrl'Ii III!!I illlill Ii,!I:! REMARKS/LAB.I.D. <br /> - <br /> sa <br /> 6) <br /> 7) s <br /> 10.) ••�i <br /> *Noma" oc <br /> 13.) <br /> 14.) <br /> DATE I T11)" <br /> Rnarpuyut®BY- { RECVIVWBYc 1'.t "�, G / lQN <br /> Ispt+ATUREI RECEIVED COLD R INTACT I YES NO f <br /> nA rTAl6 / <br /> RELINQUISHED BY; RECFXVED BY: AIR BUBBLES IN V.O.A.S 1 YES NO Y LI S R- <br /> ! (SIGNATURE) I CUSTODY SEALS INTACT / YES NO f NIA f 1 <br /> DATE ITAME <br /> RELINWISHEDBY: RIVEDDY: PRESERVATIVES USED ! NO ! <br /> r� <br /> I (SMAnWX) <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE PULL HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T B.E.,T.A.M S.,E•TB.E.,p.I P E.,T B A.) <br /> B.B.=BAILER BLANKS COLIEC M IN THE FIELD, F"8.=FML.D BLANKS COLLECI M IN THE FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW•TO LAB.WITH SAMPLES YELLOW-RETURN TO CLIENT WITH RESULTS DEL-TE(7H C.O.C.FORM 98 <br />