Laserfiche WebLink
-- ANALYTICAL REQUEST I SAMPLE CHAIN OF CUSTODY LAB.TRACKING If: ----------------------------RECORD OF DATE RECIEVIED: ... <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES _7 LAB.INVOICE TO ........................ <br /> "T' <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 lal-93...vaict I Llrx.e_ ---- - ---I.-------------------- <br /> OFFICE-(209)947-8757 <br /> FAX -(204)847-7744 PHJ lft_ CONTACT- lsj-----.------•--- <br /> CALIFORNIA <br /> j----------------CALIFORNIA CONTRACTORS LICENSE4 6573661 CLASS"A"ENGINEERING <br /> .O. <br /> OB <br /> J # ......................INVOICEf ---------------------- P # ................................ <br /> 0 <br /> L <br /> A LySITE SAMPLING MAP <br /> CLIENT: OONSULTANT: <br /> SITE NAME: PROJECT. <br /> ADDRESS- �folilme_ VA CITY. Lryj ST.: <br /> SAMPLER SIGNATURE: nn L�(,V\ Ice, <br /> SHIPPED VIA- iv r -)WAYBILL <br /> ANALYSIS BX: 642�1CC(IJ()o TURNAROUND TIME: Q DAY(S) <br /> SAMPLE LD.0 DATE TIME CONTAINERS TYPE MATRIX 1IIIli I!i ;gillREMARKS/LAB.I.D.#S <br /> I I ILI 11 1 = <br /> 1.) - I c>jv <br /> M 16 Ln <br /> 3.) <br /> 4) <br /> 7.) <br /> 9) <br /> 14.) <br /> A RECEIVED BY: DATE/71�& SAMPLE INTEGRITY I COND177ON <br /> RECEIVE[)COLI)&INTACT I YEk4f<NO <br /> (SKIMATUM oc— SIGNATURE <br /> DATE I w DATEITINE <br /> 0 Rwovw., L 1- AIR BUBBLES IN V.O.A.-S /YES NO Loff LINE(S)0 <br /> Isove / /0�10 <br /> RELrNQLnSHEDBY; "t <br /> all-41 /_101�v g�;=) CUSTODY SEALS IN—TACT /YES&'� NO N/A <br /> D_AT_f_/ffM_E DATEITIME <br /> FWNQ1nSHEDBV: RECTMDRY: PRESERVATIVES USED I YES (--10"'No <br /> fs1G[jATL[RE, I (S1CNATVRFj JYPE OFM.ESERVATIYUEI� <br /> Nam: PLEASE.ARCHIVE THE SAMPI RS M iBMnTED R)R TIFP RrLL HOLI)ING TIME AILOWFD,UNLESS OTHER ARRANCPMENTS ARE MATT. <br /> S.B.=BAII.FR BLANKS(T)LI.ECTED IN TEF I"IrI.D. F.B.=I1FLI)BLANKS COLLECTED IN THE FIE1,17). <br /> PINK-FIF,1,1)COPY VELLOW-R F71 IRN TO 41.1 PST WITH R ESUL" 0EL-TEC11 C.O.C.FORM 99 <br />