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4- 101( t t t t t t Lag.,Wtoll%,train L. <br /> t 14303/0/x, 0/3 t <br /> LEL-TECH GEOTECHNICAL SUPPORT [Submission # <br /> 10624 OLIVE AVE. / OAKDALE,CA.95361 Cq <br /> a <br /> SITE NAME: FORMER ARCO AM-PM o <br /> (209)847-8757 / (209)847-7744 FAX <br /> UJ <br /> Sheet: 1 OF 1 F m <br /> Client: Report Attention: Phone: p L Q w <br /> CITY OF ESCALON MIKE NIEMI (209) 522-4119 J o z ui N <br /> Address: Project Name: FAX: w w w } a 1O (1)1350 ESCALON AVE. 1ST. QTR.2003 (209)522-4227 3w z x � 0 <br /> V' F- J N O ulQ <br /> City,State,Zip Consultant: Purchase Order#: 2 O <br /> u <br /> ESCALON, CA. GEOLOGICAL TECHNICS 666080 MP o a o Q w <br /> 0 <br /> s# Sampled by: Lab. Q j _ w <br /> Lab Use Only Sampling Into' 0 Q Ni ap <br /> DEL-TECH oo x mI— <br /> No <br /> T #C Date Time Sample Description I Location Sample Container/Preserv. t, <br /> Ib C w w U) <br /> MW-101 2 VOA'S/HCL&2 VOA'S/TSP X X x S <br /> r <br /> i <br /> i' <br /> i <br /> i <br /> P Type: 1 q <br /> QC Report T e:L 2 3 4 Formal COG Required: Additional Services authorized by: <br /> r <br /> Si nature Print Name Company Date Time <br /> Received/Reliquished by: - L 1 L h 1 <br /> DEL-TECH GEOTECH. (; <br /> Received/Reliquished by: - <br /> Received/Reliquished by.,, ! —_, <br /> e, 5,7 w a a v 0 3 :s`o <br /> Received/Reliquished <br /> lC- (�(S %C�r i � iS Chi jC�CIG �Ct,gS 3�io�D3 %SDO <br /> Received I Reliquished by: <br />