Laserfiche WebLink
Laboratory Chain of Custod / 2003 <br /> DEL-TECH GEOTECHNICAL SUPPORT Submission# <br /> 10624 OLIVE AVE I OAKDALE,CA 95361 m <br /> Sz <br /> SITE NAME SPEEDY MART <br /> (209)847 8757 / (209)847 7744 FAX LU <br /> Sheet 1 OF 1 LL o <br /> Client. iReport Attention Phone p z w N <br /> GROUND ZERO ANALYSIS,INC JOHN LANE (209)838-9888 � ¢a W w a: <br /> (52 <br /> Address Project Name FAX 3 X z to X q p to <br /> 1714 MAIN ST V E S PILOT TEST (209)838-9883 <br /> City State Zip Consultant Purchase Order# z Q O O a. W �+ n <br /> ESCALON,CA 95320-1927 GROUND ZERO ¢ c a Q _Jo a° <br /> Sampled b Lab O Z W U Q d aO <br /> Lab Use Only Sampling into DEL-TECH AIR TOXICS zz 0 = F C> m o y <br /> ` 2a H m W W I— Q � <br /> 10/22/2003 1300 MW-1 INFLUENT 1 TEDLAR BAG X X S <br /> 90/22/2003 1500 MW-1 INFLUENT 1 TEDLAR BAG X X S <br /> 10/22/2003 1510 VEW-1 INFLUENT 1 TEDLAR BAG X X S <br /> 10/22/2003 1900 VEW-1 INFLUENT 1 TEDLAR BAG X X S <br /> OC Report Type Levet [ ]2 [ ]3 [ ]4 Formal COC Required [ ] BILLING TO GROUND ZERO <br /> I <br /> Receive Reliquished DEL-TECH GEOTECH � Z3 <br /> Received!Reliquished by <br /> Received I Reliquished by <br /> Received/Reliquished by <br /> Received/Reliquished by- <br /> NOTES <br /> II <br />