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C I < < < Laboratory � t <br /> Chain of ody 5 <br /> DEL-TECiI CGOTECIIINICAL SUPPORT Submission # <br /> 10624 OLIVE AVE. / OAKDALE.CA.95361 a <br /> SITE NAME: FORMER ARCO AM-PM m o <br /> (209)847-8757 / (209)847-7744 FAX u, <br /> Sheet: 1 OF 1 F <br /> Report Attention: Phone: 0 W <br /> Client: CITY OF ESCALON MIKE NIEMI (209)522-4119C) w w r'+ <br /> -i W—j a ? (.9 "-7 <br /> Address: Project Name: FAX <br /> ul 1350 ESCALON AVE. 1 ST. QTR.2003 (209) 522-4227 � w _z x h o <br /> (D+- J N O w Q II <br /> City,Slate,Zip Consultant: Purchase Order#: Z d O m t-a w >O <br /> GEOLOGICAL TECHNICS 666080 MP v> J o <br /> ESCALON,CA- o a �- vi Ci Q <br /> Sampled by: Lab.: 0 j ul 'u Q Q d 0 <br /> Lab Use Only Sampling Info. DEL-TECH SHERWOOD Zz a a F N C cv M 1-- Z <br /> :Time :.:Sam P le`Descri tion=/:Location '.`.Sam le;Contatnbt-P.resery .-: ca I— rri w I— <br /> C ' 3-D MW-101 2 VOA'S/HCL&2 VOA'S/TSP X X X S <br /> i <br /> I <br /> i <br /> I <br /> QC Report Type:L [ 122 [ ]3 C ]4 Formal COC Required:[ ] Additional Services authorized by.: <br /> 'i'PT�P(`^Y.WaLIj, oar:•+x"t .YS� , Y^ �'v.t' p ,?ar t•.•r..Y: wQ4 w St <br /> nature '"u r 't&Prtntl�fame� 1. „�,<. .: �r _.Com an __ .r r' ". Date � i�rrt":e <br /> :... <br /> Received/Reliquished by: tV L t�- DEL-TECH GEOTECH. I rd b <br /> j <br /> Received/Reliquished by: r l S, �J ,O 4 's Ll D 0-3 <br /> Received/Reliquished by: <br /> Received/Reliquished by: . i9 <br /> Received/Reliquished by: y <br />