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4aa �T 1'6;'gao.�Z' Laboratory Chain of Custod 03 DEL-rECH GEOTECHNICAL SUPPORT Submission# 10624 OLIVE AVE. / OAKDALE,CA.95361 a m SITE NAME: OLIVAREZ PROPERTY 209)847-8757 / (299)847-7744 FAX w r ro Sheet: _1_ OF _1_ 'lient Report Attention: Phone: 0 0 W w N ' FOOTHILL ENGINEERING ERV RIFENBURG (209)368-9381 J w a, cD ui } � +ddress: Project Name: FAX: � W Z 12793 PADDY CREEK LANE 4TH.OTR.2003 (209)367-1163 — -- J Q e .Dity,State, Consultant Purchase Order#: a �s O w o ~a W LORI,CA.95240 FOOTHILL EMG. ERV r 3 EQ w f° `�- -J c cc a c o U -J1 a Sampled by. Lab.: t C7 O ui ❑ui Q d ❑ Lab Use Only Sampling Into: DEL TECH GEOTECH SHERWOOD LAB. z o = Y x O m oo F- z¢ S# G3 °' 0ataT1111e 5a1i1 le:Desclri��tf0 /LtlOn �3n7 COr1t31f1Cr< ESBN C�7 CL m m� r L�IJ ren Ste_~ 12/17/2003 MW-1 4 V.O.A.'s I HCL X X X X X S 12/17/2003 R- 0 4 V.O.A.'s 1 HCL X X X X X S 12/17/2003 MW-2 4 V.O.A.'s 1 HCL X X X X X S 12/17/2003 AA-2R [' 4 V.O.A.'s 1 HCL X X X X X S 12117/2003 & MW-3 4 V.O.A.'s 1 HCL X X X X X S 12/17/2003 -mw--w 4 V.O.A.'s 1 HCL X X X X X S 12/17/2003 Mw-5 4 V.O.A.'s I HCL X X X X X S 1211712003 CJMW-6 4 V.O.A.'s/HCL X X X X X S 12/17/2003 MW-7S 4 V.O.A.'s 1 HCL X X X X X S 112/17/2003 MW-8S 4 V.O.A.'s I HCL X X X X X S 12/17/2003 MW-'BD 4 V.O.A.'s I HCL X X X X X S 12/17/2003 MW-9 4 V.O.A.'s 1 HCL X X X X X S 12/17/2003 EW-1 4 V.O.A.'s I HCL X X X X X S QC Report Type:Level [ ]2 [ ]3 [ ]4 Formal COC Required:[ ] BILLING TO: FOOTHILL ENGINEERING -sa. 'ti,.dp'_ _ ""� '�i'r =?;: •t:yy�. ;. "': _a£a. i3' '1 �"w^.9'.tyt , M PrintNa_M j-, x bq- Cam ari a _ �.1 h ate :a Eme Received eli uished b . t DEL-TECH GEOTECH. eliquished by: , -�' .Ta GST'"' B13ZAPS `7 Received! eliquishedby. / 5'i ,�' DG 7 � .� J p Received!Reliquished by ' S67 JO.D Z aA s4 Received/Aeliquished by: NOTES: