Laserfiche WebLink
I "`��AMPLE CHAIN USTODY RECORD <br /> 1 <br /> EL- ECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE OAKDALE, CALIFORNIA 95361 LAB. INVOICE TO g1nT6r-k- <br /> OFFICE (249) 847-8757 <br /> FAX (209) 847-7744 RECORD _ _L_OF PH # f4:2 9 07S 2 <br /> CLIENT / CONSULTANT: 4- P6�f-t P.O. # INVOICE # <br /> W ammEmm I 1-k�1 ANALYSIS REQUESTEDr�� <br /> SITE SAMPLE MAP <br /> PROJECT I SITE NAME ���`_- �� ��+�' (ITEMIZED AND CHECKED BELOW) MT MSCAM <br /> q^ � /NORTH <br /> o Mm U z Y <br /> STREET ice"''' CITY STATE o a Qt 8 <br /> W U {�O Y C)Q lJ-I OJ uj <br /> HIP VIA c AYBILL#SA R mxR,TnDsIGxA:Tmsf o �¢ w z :1wSAMPLE LOCATION DATE TIME TYPE Mp I E c9 Q Ixa- x o os z a a v-tIDENTIFICATION} 11lI8JAArmL BouR/Ktrx [17NANbCS COM 08178} MATRIX r rte- m ams co rte- /*SPECIAL INSTRU IONS BELOW <br /> i <br /> 2-)YVV-IL <br /> 9) - . , 1� 5 <br /> 6) <br /> 7) <br /> 8) �14 <br /> 9) RtjfL, WCOL kC 1;D <br /> 10) <br /> 17/,e/ry 7 �•SAMPLE INTEGRITI/CONDITION A TURNAROUND 7'IUE '• <br /> 7 It WWI V£i1 COLD A INTACT / IFS '0 � } <br /> RE <br /> I HFD DATE1 TiStgv RECEIVED Bl s�r�.Tvxc, AT£I TIM7 � PRESFR\AT[\FS USEDE-1SO { <br /> LS INTACT J YES <br /> A(at �' �-����f "� �r � � � A Ft LBBLF-S IN O A S 1 t ES � � NO <br /> � LINL 4 <br /> RELQUkSHEI1 BZ FUMTuku ATEI TIME �� Et.Ei\ED B\' ,sui.,rine A E!TIME r <br /> TURN AROUND TIAIE CHECK OW <br /> RELIVQLISIIEA Bl 0.10'11-E PATE TI\1F ECEIVED BI L480RAT0RI' 1WWTtWMK6(; ITME, AFF 7 TIME '-a II0I11 l } 49 HOUR � } � DAI t � 19 DA', .ate i <br /> NOTE LABORATORY SAMPLE ARCHIVING WILL BE 30 DAYS FROM THE DATE SAMPLE WAS COLLECTED,UNLESS OTHER ARRAINGENIEA"FS ARE MADE- <br /> PLEASE RETURN DEL-TECHS ICE CHEST AND BLUE ICE AS SOON AS POSSIBLE THANK YOU DEI.-TECH FORM C O C <br /> Pink - Field Copv / White & Yellow - To Lahoratory with Sampleti J Yellow - Return to Client with Results <br /> - - <br />