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1 0 ClientC��Leg LCA <br /> ,td L-TECH SAMPLE CHAIN OF CUSTODY RECORD Address A <br /> Geotechnical Support Services (pleaae print) Phone No. <br /> Proj. MgrJContact .8�-L 1 <br /> T0624 Olive Avenue �,� <br /> Oakdale Calif 85361 Pink-Field Copy <br /> (209)847-8757white and Yellow To Laboratory with Samples <br /> Record of Yellow Return to Client <br /> PROJECTISITE NAME '� �p , ANALYSIS REQUESTED <br /> � AbuCA <br /> PROJECTICONTRACTIPO NO _ �3 REcEIyEI)j,, <br /> LL a E� t 1/ 7 1993 <br /> NAME 01=SAMPL { REMARKSISPECIAL INSTRUCTIONS <br /> I � <br /> LAB USE ONLY AMPLE a m NUMBER <br /> LAB I D ID DATE TIME O CON <br /> U 0 TAINERS <br /> -W 1, x. <br /> RELINQUISHED BY SIGN DATEITIM}E�} RECEIVED BY SIGN DATEITIME RECEIVED FOR LABORATORY <br /> Z. BY(SIGN) DATEITIME <br /> RECEIVED <br /> HOLD AND INTACT OTHER PRESERVATIVE OYES )(\NO <br /> OOTHER <br /> TURN AROUND TIME <br /> SHIPPED VIA OFED X ©UPS MOTHER SHIPPING ORDER NO 024 Hr 02 Day 05 Day X10 Day <br />