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" <br /> ANAL T ICAL d�EQ(!�i►Jl �7�LY1 .'CHAIN OF CUSTODY"- LAB.TRACKING #: :.----J---------------^^-- <br /> . <br /> RECORD OF r O ' DATE RECIEVED: ------.` ` -- --= - - - <br /> LAB.INVOIC TO: T 1Fil <br /> — y -- - ----------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES - -.--- -- - <br /> 1. :. ___ � -- <br /> I0624 OLIVE AVENUE,dAKDALE,CA.95361 --------------- ----.'- .._.-.—:.---^_-__._..,.----- --------------.-----_-- <br /> OFFICE-(209)847-8757 /°6} ` '"� <br /> FAX 209 847-7744 PFI-# ( )5 I� .--�CONTACT:SF` <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING ���_ <br /> OB# -----------------I OCE#-------------------._... Y.O # _. ------ ----...—- <br /> LAB.ANALYSIS REQUESTED(PLEASE PRINT) SITE SAMPLING MAP <br /> CLIENT-'-_ CONSULTANT: �4 (NOR <br /> TM <br /> SITE NAME PROJECT:41 1 a r /7 I <br /> ADDRESS: CITY: ST.: / <br /> � <br /> SAMPLER SIGNATURE: - s a r <br /> SHIPPED VIA:{ WAYB L-J#. <br /> ANALYSIS BY:. TURNAROUND TIME: DAY(S) <br /> TIME CONTAINERS TYPE MATR!% Illli l! f Ii1 I�l €;!I Ilufl n l'3.1' I.1 i € -3;:' ,++ { p€€'E`:'' El.j11'i <br /> SAMPLE LD-# lit <br /> TE �; REMARKS/.LAB.I.D.#S <br /> . t4 <br /> x 7'�I�.�.J L� <br /> 2.) ."$ c I <br /> 5.) mi CA T 106 i ` i . <br /> 6.) <br /> 7.) <br /> 8.) ' <br /> 9.) <br /> 11.} <br /> l2.) <br /> 13.) i Fri Vi v` V <br /> 14.) Ej N� 1 <br /> 15-) <br /> r • D67E1 ,,.g DAI9I771E <br /> RElXgQUMfffD aY: f i ; s R'�BY ° �° S"PLE INTEGRITT I CONDITION <br /> "i� (SICNATUM) a ~, l .1`,.� e5 RECEIVED COLD&INTACT ! YES ( NO ( ) <br /> D !TIME � �rJ <br /> El <br /> AIR BUBBLES IN V,O_A.'S !YES f NO LINES #- <br /> Q <br /> t� j` '' -� ��� .*�La CUSTODY SEALS INTACT !YES ) NO f ) N/A f 1 <br /> 'DATEITIME DATEITIM$ <br /> REL2Nqut5RW ljy: PRESERVATIVES USED I HCL-. <br /> A NO <br /> IGNATURM I ! O S: ` '� - .- <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULLHOLDING77MEALLOWED,UNIESSOTHERARRANGEMENTSA - <br /> r B.B.=BAILER BLANKS COLLECTED IN THE FIELD. F.B:=FIELD BLANKS COLLECTED IN THE FIELD, tiT+�,�ncc+'r Tr <br /> PIN Y_wWw \ no{- 1l•iJITL'f.S•CrrAIV Tr•Y•➢ +[+TIL t....I cc �•gr+r"l: n�Tliq+•t Tr•rr+Z ACI Toll r-ll r` Vnn%4or <br /> �..��— <br />