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_ Client ' <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address �� <br /> Geotechntcal Support Services (please print) Phone No. <br /> Proj. MgrlContact <br /> 10624 Olive Avenue <br /> Oakdale Calif 95361 Pink•Field Copy <br /> White and YelEow,-To Laboratory with Samples <br /> (209)847-8757 Record of Yellow-Retum to Client <br /> PROJECTISITE NA4E ANALYSIS REQUESTED <br /> �rV D <br /> t <br /> PROJECTICONTRACTIPO NO. <br /> NAME OF SAMPLER REMARKSISPECIAL INSTRUCTIONS <br /> LAB USE ONLY SA PLE IL Q NUOF <br /> MBER <br /> LAB 10 1 D DDE TIME O CON- <br /> Y c7 TAINERS <br /> p <br /> F <br /> 1A t'u--rox <br /> _r <br /> RELQ <br /> I UISHED BY SIGN DATEITIME RECEIVED BY SIGN DATErnME RECEIVED FOR LABORATORY <br /> BY(SIGN) DATEITIME <br /> l x RECEIVED <br /> 1-6AND INTACT OTHER PRESERVATIVE ❑YES.;�00 <br /> ' s ❑OTHER <br /> ` TURN AROUND TIME - <br /> AWIPPFD VIA OFED X ❑UPS N.00THER SHIPPING ORDER NO 024-Hr - 02 Day 05-Day Day <br />