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Laboratory Chain of Cust <br /> DO K- ECH GEOTECHNICAL SUPPORT +'TO r Submis # <br /> 10624 OLIVE AVE. I OAKDALE,CA.953x1 SITE NAME: VICTOR MEATS <br /> (209)847-8757 f (209)847.7744 FAX Sheet: _1_ OF i_ LL N a m ° <br /> Client Report Attention: Phone: Q z <br /> neui <br /> FOOTHILL ENGINEERING ERV RIFENBURG (209)36&9381 _j a m � y w `" <br /> CIA <br /> Address: 12793 PADDY CREEK LANE Projea Name: 1 ST.OTR.2003 (209)367-1163 3 w z Go O <br /> ('f - J W NO F ui W is <br /> City,State.Zip Consultant Purchase Order e: x C 0 �D uj a LU . p <br /> LODI,CA.95240 FOOTHILL ENG. ERV O z < 0 ° W U ¢ a CC <br /> o <br /> Lab Use Only Sampling Info: Sampled b� DEL TECH GEOTECH. SHERWOOD LAB. O 0 = 2 � �m � p ~ �a <br /> s _ . , ' C Date T�"iine-,_ - am Ie Del `� iort? ovation :_ Sam fe C nfatriei°f rs"se ir.f< c� a m m iu Cc o <br /> 6/9/2003 18:40 MW-1 /U.S.T. X X S <br /> QC Report Type:Leel [ ]2 [ ]3 [ ]4 Formal COC Required:( ] BILLING TO: FOOTHILL ENGINEERING <br /> -- ^.r-_+cxv;c-:.:..n_. •%-s _ .,r'Z:r} -.r^ a-::.�..v> _ 'l;" _`^, w �. i-Y. -.--1 -:,qtr•"t:r-i[.a"r.'Y. Yst- r.y /+�_ ;.%i'., <br /> _ <br /> <��_>Pri�i�Name: _�� ,+..:�_ , �;-p.. �;� M.-n <br /> Rete" i N ���' '� DEL-TECH GEOTECH. t� <br /> Received Reliquished by. VV —OO T$ <br /> Received IReGquishedb / d SJ0eRwQ&D L- 5 Av 0 j 19.0 <br /> Received!Reliquished b i f� -If-0 3 ®c0 0 <br /> Received/Retiquished by:�/ <br />