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CHAIN OF C USTODY <br /> a ErMR OMENTAL AND ANALYSCSREQUEST DOCUMENT <br /> caw <br /> Lab Number: TEST DESCR[FTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Custom er Ntunher: 3018808 <br /> Addrm- 407 W.Oak St. <br /> Lodi,CA 96240 <br /> phone: (209)359-0375 Fax: (209)369-0377 <br /> Email Address: abbYWogelodi.00m <br /> Contact pleraon: Abby Racco <br /> Project Name: Ray-Mar Farms,10750 S.Henry Rd„Farrnington <br /> Purchase Order Number: <br /> Quote Number: <br /> Sample*): Jessen Welch <br /> a <br /> Sampling Fee: pidcupFee: is <br /> Compositor SatupDate: Time: <br /> m vi o r 7 <br /> 3amp Location Description hate Time <br /> Nunn Sampled Sampled <br /> 0 "Travel8lank �> G 2 G X <br /> DDyNdS}ic WA� oP r� 7 G 3 PIG P OW RC 0 4 X X <br /> 2 Vk%MAA►t V41A-lo'W*S. j I Z G J Pit F 1,14 S O +4 X X <br /> Remarks elu4quished Date: Time d Time: Relinquished Date: Time: <br /> �2 <br /> k By. Time: Rete edgy: Date: Time: ved 13y: Lute: Time: <br /> Corporate Offices 6 i.atwra6ory office&Laboratory -Office&Laboratory tell e <br /> 853 Gorporatlon Street 25w Stagecoach Road $63 E Linda Avenue ELL a,Caiilorn4 <br /> Santa Paula CA 93060 Stockton,CA 95215 Chico.CA 95828 EL'.e:SW 4'8479 <br /> TE1..:8051392.2fi0D TEL:2091842-0182 TEL <br /> Mobile:SS5A37-2395 <br /> FAX:805/525-4172 FAX:2091942-0423 FAX:530C343.3W7 FAX:5591734-8435 <br /> CA FLAP Certificion No.2870 <br /> CA NELAP Certification No.011100A CA FLAP Certification Na,1563. <br /> ;t . <br />