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Laboratory Chain of Custodk <br /> PTD!L- ECH GEOTECHNICAL SUPPORT Submission# <br /> 10624 OLIVE AVE. ! OAKDALE,CA_95361a m <br /> SITE NAME: SUN WEST LIQUOR u, m L <br /> (209)847-8757 1 (209)847-7744 FAX al <br /> Lu w wSheet: _1�,, OF _i— LL to a m o <br /> Phone: Z <br /> Client: FOOTHILL ENGINEERING <br /> ]ReportAnenlion: O o <br /> ERV RIFENBURG (209)366-9381 J IL ao N cw7 u , <br /> > M rc <br /> Project Name: FAX: 'Lu W Z m .. O J-- <br /> Address: <br /> 12793 PADDY CREEK LANE 2ND.QTR.2003 (209)367-1163 <br /> Purchase Order#' Q Q N r/j a J <br /> City,State,Zip Consultant: ERV ¢ 3' co w w o Q o <br /> LODI,CA.95240 FOOTHILL ENG. o z < a w W U Q '2 <br /> Lab Use Only <br /> Sampling Info: Sampled by Lab.: H X mom 0 tp H ,� z <br /> y P 9 DEL-TECH GEOTECH. GEOANALYTICAL p¢ a r N a 0 Q 3 <br /> is ;`='Date Tiine : .:.`Sam !e Description l Location Sample Container'/yP..�eser - t, I— In �= 1- <br /> CC U) <br /> Z �� 'Q L GMX-1 4 V.O.A.'s I HCL X X X X X Q S <br /> titMW-2 4 V.O.A.'s 1 HCL X X X X X S <br /> MW-3 4 V.O.A.'s 1 HCL X X X X X P3 629 Z S <br /> `$ MW-4 4 V.O.A.'s/HCL X X X X X S <br /> • EW-1 4 V.O.A.'s I HCL X X X X X 3 y S <br /> OC Report Type:Level [ ]2 [ ]3 [ ]4 Formal COC Required:[ ] BILLING TO: FOOTHILL ENGINEERING <br /> i nature r Print Name :Com n Date Tkiie <br /> Received! iqus y: I DEL-TECH GEOTECH. <br /> Received! eliquishedby: <br /> Received 1 Reliquished by: <br /> Received!Reliquished by. <br /> !Received/Reliquished by: <br />