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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> (l5 )DgU <br /> Chem: Live Oak GeoEnvironmental <br /> Cuataner Number: 3016606 <br /> Aad : 407 W. Oak St. ) ) <br /> 1 ( ) <br /> Lodi, CA 96240 I t 1 3 <br /> Phone: (209)369-0375 Faa: g { E y <br /> Email Addreca: abby@logelodi.com <br /> 'Contact Penton: Abby Racco <br /> Project Nams: Maberto,7066 S. Mobley,Stockton <br /> Pumbium Order Number. _o <br /> G i e <br /> Quote Number; <br /> r`amp!..\SI. <br /> 13 <br /> E( <br /> Sampling Fa: Pickup Fee e i .7a,,, i g <br /> 1Compositor Setup Dale: Tlme <br /> Sump Lacauon Description Date Time �L $ i'Z'- _JJ s i <br /> Num,1 I Sampled Sampled i - r� <br /> It <br /> A <br /> 0 Travel Blank i f jp 1 F! f0 /S j G 2 G X E ( R <br /> 1 Domestic Well €$ 3p /}Ito /S' G 3 P/G P 1DW i 3R3 O 4 X X g <br /> __. .................... ., s e .. . <br /> ------------- <br /> Remarks Rel' 'shed Date: Time: Relinqui e: Time: Relimptiahed Date: Time: <br /> /e!FS-3t-/'4 lc)'.so 51m 11 ( 6fl . So 8/3iIn Op <br /> Received By: Late: Time: RxeiyFd By: te: Time: Received By: Date: T' e: <br /> 3a <br /> 1_7 1030 /F('6Y/UI`Il`ll S bD (� '1t3� /31 rf� <br /> Cc rpomto Offices&Laboratory Office&Laboratory Office& omit ry field office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avonue Meella,Cmifama <br /> Sema Paula,CA93080 Stockton,CA 05215 Chico,CA 05926 TEL:558734-8473 <br /> TEL:805/392-2000 TEL:200/042-0182 TEL:5=43-5818 MnWle:550737-2398 <br /> FAX:80515254172 FAX:209/942-0423 FAX:5301343-3807 FAX:559734-8435 <br /> CA NELAP Continuation No.01110CA CA ELAP Certification No.1583 CA ELAP Certification No.2870 <br /> 0 0 <br />