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ENVIRONMENTAL '� CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> !C7 . . .LiveOak GeoE nvlronmental <br /> 0a1omoNumber: 3016608 <br /> Addea: <br /> 407 W. Oak St. j$ t <br /> i Lodi,CA 96240 ! i <br /> Phone: (209)369-0375 Fax: <br /> Email Addms: abby@logelodi.com <br /> Contact Person: Abby Racco i-g i i i a i <br /> `s. <br /> project Name: Roddan,23601 S.Manteca Rd., Manteca /1 <br /> Auchan Order Number. <br /> 2 Quone Number: c I oi <br /> 3 { <br /> ;Sampling Fec. Pickup Fa: <br /> CmoposFm Time;a. •g 5 cSE d J I <br /> E A, <br /> Samial Leauon DescriptionDatc Time ! ?, = .s "zt �A <br /> None I Sampled I Sampled <br /> 2 , , <br /> 0 1 Travel Blank -4-►z-tk, 9.10 1 G 2 G x . f <br /> 1 Domestic Well la / q'(0 <br /> _ ,�- '� q•[V ; G 3 P/G, P !DW, SRC O ; . 4 x X <br /> ) <br /> Remarks Rcling0thod Date. Time: uubedry�Dat Time: lin new. Time: <br /> 7 Day RUSH `/ �Z'la jD`�° % <br /> -� 1-;/i7 1, <br /> By: : Time: Received By: Date: Timta: Time- <br /> 'c iates/17 e: X:1w6a i�� 7«�/7 i? <br /> Corporate offices a Laboratory Office&Laboratory O/fleo a Laboratory Field Office <br /> 853 Corporation Street 2500 Sta laoosch Road 583 E.Undo Avenue Viselie,CalBomla <br /> Same Paula,CA 93080 Stockton,CA 95215 Crdw,CA95928 TEL:558/734-8473 <br /> TEL 805/392.2000 TEL 2091942-0182 TEL:530/3435818 Mobile:558!737-2399 <br /> FAX SOSl525-4172 FAX 20WN2-0423 FAX:530/3433807 FAX:5597734-8435 <br /> CA NELAP Certification No.01110CA CA EIRP Certification No,1583 CA EIRP certification No.2870 <br /> 0 0 0 <br />