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mT ENVIRONMENTAL CHAINOFCUSTODY <br /> AND ANALYSISREQUEST DOCUMENT <br /> Lb %r TEST DESCRIPTION AND ANALYSES REQUESTED <br /> C <br /> lient: Live Oak GecEnvimnmentil ��/ <br /> a: 3076608 <br /> 407 W.Oak St. <br /> Lodi,CA 9524069-0375 F. (209)36&0377 � <br /> Fiidl Address: abbygogelodi.mm <br /> Ommon <br /> et Pers : Abby Recto 8 <br /> Ami-Noma Eger Pmperty,29000 N.Mackvllle,Rd.,Clements d <br /> Purchase Order Number y d <br /> a <br /> Qeda Numher: c? Q £ o <br /> 5®pler(2): JessenWelch <br /> '� y =a g <br /> s c4 JI . � <br /> s £ p Q <br /> PvnaFa Pickup Fee: <br /> $ W <br /> Canppeitar Semp Dote: rime: E. <br /> 5'nM Location Description Dote Time n <br /> Nnmz <br /> SemplW Sampled a 8 <br /> 0 Travel Blank �� G <br /> X <br /> 1 Domestic Well 02-/ G PJG P DW RC O <br /> X X <br /> ---- ----- --- - - --- - -- <br /> ---- ----- -- - - --- - -- <br /> Remarks <br /> 1mgrdshed Dere: Time: 'shed Date: Time: Relinquished Dee: Time: <br /> /D/3V/ 9 17e b <br /> R ved By'. Date: Time: Received By' Time: <br /> By: Hare: rune <br /> urx �% J3f7r /70 <br /> Corproretei Oalees 8 Laboratory a,Ln,e„ta,Y <br /> 853 Corpp von Street 500 Stagecoach Road Office A Laboratory eM Ce <br /> Same Paula,CA 93DBO Stockton,G ach R 563 E,Lino Avenue <br /> TEL;6057392 lie,Cateomia <br /> �72 TEL:208/942-0182 Chloe,CA 95926 EL.-559!734-8473 <br /> FAX:ELAP80&55-8172 FAX 209942-0423 TEL:530343SB1B Mobile:5 !/37-2399 <br /> CA NELAP CMMcetlon No,01110CA CA EL.AP CertRicatlon No. 1563 FAX:530/34&3807 FAX 559/734$435 <br /> CA ELAP Certification No.2570 <br />