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00 Q2-U y 19 Labora ory Chain of Custod 0004- <br /> DEL-TECH GEOTECHNICAL SUPPORT Submission# <br /> 10624 OLIVE AVE. ! OAKDALE,CA.95361 m U <br /> l SITE NAME: SUN WEST LIQUOR 1 LODI, CA. Co tA <br /> (209)847-8757 1 (209)847-7744 FAX UJ W ly y <br /> Sheet: 1 OF 1I ILL <br /> a <br /> taort lent: RepAttention: Phone: D T7 LU <br /> Z Q <br /> G FOOTHILL ENGINEERING ERV RIFENBURG (209)368-9381 _J z u CoC7 w `„ <br /> Address: LU <br /> Project Name: FAX: W z m O a © d <br /> 12793 PADDY CREEK LANE 3RD.QTR.#212004 (209)367-1163 <br /> I C7 Q 3 o < u <br /> City,State,Zi Consultant: Purchase Order#: Z O a ^p <br /> n LODI,CA.95240 FOOTHILL ENG. ERV Fr 3: w w {O (6 Q _J o <br /> Lab Use Only .r Sampling Info: sampled by DEL-TECH GEOTECH. mob" GEOANALYTiCAL o = a �� co 25 W N p p : z <br /> IN&r Mate`] A1iii`e� W rn:tIDSs" i 1 C_d_ i�_i JAW e r VE 0 W Co Co T_ w �- <br /> 9/1712004 p�} GMX-1 4 V.O.A.'s 1 HCL X X X S <br /> 9/17/2004 1MW_e 4 V.O.A.'s 1 HCL D ► S <br /> 9117/2004 �� Ma 4 V.O.A.'s l HCL <br /> " <br /> 9117/2004 �� M � 4 V.O.A.'s i HCL <br /> 9/17/2004 �� EW-1 4 V.O.A.'s 1 HCL X X X rj S <br /> I <br /> I <br /> I <br /> i <br /> i. <br /> 1 <br /> QC Report Type:Level [ ] 2 [ ] 3 [ ] 4 Formal COC Required:[ ] BILLING TO: FOOTHILL ENGINEERING <br /> Received! quiche �P&0 ,'� DEL-TECH GEOTECH. `r <br /> Received eliquished by 61 i r / ec) 16 r 1 �1 <br /> i' ReCeived!Reliquished / L ` "Y Y <br /> Received IRellquished <br /> Received!Reliquished by. <br /> I <br /> NOTES,. <br />