Laserfiche WebLink
.. .��.-- - 'a"'`r'' _ w a r.,y.1.1�'P�1�"� .-.f�'�'!'t'•�= . 7✓.y'Ftir.>:r-�w''�%�+r 'a""tuy.,.��.-.....-ter ins!`=�`rs"o! '"� - - - R <br /> Client AS dtSK <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address 5" ShlgeL3 izo IsTmia <br /> Geotechnical Support Services (please print) Phone No. D <br /> Proj. Mgr.lContact LL <br /> 10624 Olive Avenue <br /> Oakdale Calif 95361 Pink-Field Copy <br /> (209)847-8757 white and Yellow To Laboratory with Samples <br /> Record of Yellow-Retum to Client <br /> PROJECTISITE NAME �1�b 5�� �� ANALYSIS REQUESTED <br /> tft-MeA ('4} 1 RECE#VE� d my <br /> PROJECTICONTRACTIPO NO �Y 1993 <br /> u Tb tu ma <br /> 7� <br /> NAME OF SAMPLER REMARKSISPECIAL.INSTRUCTIONS <br /> LAS USE ONLY SAMPLE a m NUMBER <br /> LAB I D I D DATE TIME O cc OF <br /> o 0 TAINERS <br /> 19wV t '10 ��bl�j <br /> o'er 1 �► .. . � � ., <br /> %\,�Pl X <br /> RELINQUISHED BY SIGN DATErnME RECEIVED BY SIGN DATElCIME RECEIVED FOR LABORATORY <br /> BY(SIGN) DATEITIME <br /> RECEIVED <br /> ❑COLD AND INTACT OTHER PRESERVATIVE OYES ONO <br /> OOTHER <br /> TURN AROUND TIME <br /> SHIPPED VIA OFED X [)UPS VOTHER SHIPPING ORDER NO 024 Hr 02 Day 05 Day 010 Day <br />