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'' -- ANALYTICAL REQUEST 1 SAMP.,,E CHAIN OF CUSTODY-- LAB TRACKING f <br /> RECORD OF I DAn"ClEVED- -------------��_.....---- <br /> DEL-TECH EGH GEOTECHNICAL SUPPORT SERVICES LAB INVOICE TO <br /> 10624 OLIVE AVENUE,OAICDALE,CA 95361 --lm�1-—1 <br /> OFFICE-(209)847-97S7 ) 1 3 'xg <br /> FAX -(209)847-7744 � PH# (-Y=--4---)-----------4_I--------QCONTACT ��UUU-GGG- ----- --- <br /> CALIFORNIA CONTRACTORS LICENSE#6S7366/CLASS"A"ENGINEERING ') }b ti JN ' <br /> J0,84 I DICE# ------ P O # -- <br /> I!c ! rl h pll PI r I', di,I I`ilo it li `° f int P i € r ',rll!r', +z ii r r I i I I I!I!I IIr r r i[ EEr vI h Iii l3ii I i 1 f fE`!I <br /> r1F I'llrll I�III VIII r ILII' nrr,lrrr r I rr, ,I 1�1'I'I�!r ]�,'rrk t4! "I',IlII .I 'li III�f I€t�ll�l rl'il�� � lllrllr I II 'rl r Ir�� n a,ll�iii I�i f r It`r ! i,,€lf:iill rf�,il�lil Ilir�ll f IlEEI LAB-ANALYSL4 REQUESTED()?LEASE PRINT) SITE SAMPLING MAP <br /> CLIENT MS "TaW V— CONSULTANT (Y`� CD co <br /> SITE NAME rn PROJECT <br /> ADDRESS a51 Crff ST ► <br /> SAMPLER SIGNATURE. { T 1 <br /> SEUPED VIA �L � WAYBILL# a -0 <br /> ANALYSIS BYK TURNAROUND TIMEA-n 1D f] DAYS) <br /> rl1 SAMPLE LD # DAT$ TIME CONTAINERS TYPE MA= IllI I II'! €LE{i If.,J,' I ,I i {,It ld�' € rl I'it r REMARKS/LAB I D #S <br /> r ' � rI I I ! r f!I ! <br /> 2> `�3� Td BE Ptf <br /> 3) �lfw " b I3 b j L <br /> 4) YY1,t,t) - <br /> 5' <br /> 6) G r1 n <br /> 7) <br /> 8) <br /> 9) <br /> 10) <br /> I)) <br /> 12) <br /> 13) <br /> 14) <br /> RELINOUISFEDB} , � , 11� RFi CMII@Y pA lT71.>E <br /> SAMPLE INTEGRITY/CONDITION <br /> v dD (SIGNATURE) �' ' � (� o.3RECEIVED COLD&1NfACT I YES ! O f 1 <br /> DATEITIME 4A mmE <br /> REUNQUiS'EDBS RECEI'VEDBY AIR BURBLES 1N V O A S I YES I ) NO( LINE(5)M <br /> G f T �3 1SIGNATURE) `—" —��' ! CUSTODY SEALS INTACT ! t ES L/r N4 I I N/A f I <br /> DATIIJTINIE DATEMNIE <br /> xt-a.EHQvlsr�aai LSI.NATUREImw0v <br /> 'F,vt=9av PRESERVATIVES USED ! IES f NO ( 1 <br /> L <br /> NOTE PLEASE ARCHIVE THE SAMPLES SURMTCTED FOR THE FULL 1101 DING TIME AL1,0WLD UNLESS OTHER ARRANUMiENTS ARF MlADE <br /> RR =RAFT F R RE ANKS(Ol T I CT'FT)IN TTIF FRF P) I R =F 1F1 fl RI ANKS C ill 1 T CTl f)1N mir RFI Il <br />