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ENVIRONMENTAL CHAIN OF CUSTODY <br /> f AND ANALYSIS REQUEST DOCUMENT <br /> �abb Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> ;Client•. Live Oak GeoEnvironmental 9 u <br /> �CmtomerNumbec 3016606 ILII ii J <br /> Adkm: 1 � <br /> 407 W.Oak St. <br /> Lodi,CA 95240 t i <br /> I <br /> Plane: (209)369-0375 Fax: (209)369-0377 p jl <br /> Enail address: abby@logelodi.Com M h <br /> Ccaact Person: Abby Racco <br /> P*ct Name: Navarra property,25000 S.Bird Rd.,Tracy 1991 ' 4 q j <br /> �3 .I <br /> + <br /> Purchase Order Number. a <br /> �J <br /> 1 Quote Number: 1 y o u i <br /> p I a is I ;j <br /> a n 3 E a <br /> Sampler(s): Jessen Welch v g � i q +' v Q"f <br /> _ & l75 n2I v�31 I. I n g <br /> F <br /> df 2 1p41111 <br /> qy p q r <br /> it .�' <br /> plittg Fee' Pickup Fee: a � <br /> EE <br /> J: <br /> m <br /> rn !3 <br /> gs I <br /> Casitor Setup Data; Time: m E } <br /> Samp Location Description Date Time c <br /> Nam <br /> Sampled Sampled n i JS m rB m; <br /> P P z t E I E <br /> p Travel Blank �����6 ,1145 G 2 G ;i X <br /> I <br /> Domestic Well 3 P/GP DW SRC 0 <br /> 4 X I + <br /> N <br /> i <br /> Remarks linquished �jate' Time-. Retro wished Date: Time: Relinquished D e: Time: <br /> 3iy�33� /'lam <br /> y: Dat : Time: Received By: Date: Time: Recei By: te: Time: <br /> I �l _ <br /> 1 <br /> 74 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Sante Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:5301343-5818 Mobile:559/737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />