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0 0 Client -Y1!EE ) � <br /> DEL-TECH SAMPLE CHAIN OF CUSTODY RECORD Address 15 bb C j 171), <br /> Geotechnical Support Services (please print) Phone No. t <br /> Q <br /> Proj. MgrgontaCt 131LL1aVw;��1� imp. <br /> 10624 Olive Avenue I fA� '� <br /> Oakdale Calif 95381 1 tae1py <br /> Whie nd YowTo Laboratory with Samples <br /> (209)847-8757 Record I of Yellow-Return to Client <br /> PROJECTISITE NAME &6,y-o ANALYSIS REQUESTED <br /> PROJECTICONTRACTIPO NO <br /> NAME OF SAMPLER Dv ; I< REMARKSISPECIAL INSTRUCTIONS <br /> LAB USE ONLY (A1,PLE ' � a NUOMFER <br /> UAB 1 D ID UTE TIME U CON <br /> TA MFRS <br /> X Lz-r,,A STk i)f, <br /> 0 ��'C (C�16, <br /> M <br /> M <br /> RELINOUISHED BY SIGN DATEITIME RECEIVED BY SIGN DATEITIME RECEIVED FOR LABORATORY <br /> r <br /> ,,i�.T � C '� �`%�� BY(SIGN) _ DATEITIME <br /> i <br /> RECEIVED <br /> SCOLD AND INTACT OTHER PRESERVATIVE OYES 1X0 <br /> OOTHER <br /> TURN AROUND TIME <br /> SHIPPED VIA ❑FED X OUPS OTHER _ SHIPPING ORDER NO 024-Hr 02 Day 05 Day '-910-Day <br />