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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSISREQUEST DOCUMENT <br /> Lab berO TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Moot: Live Oak GwEnvironraental <br /> Customer Number: 3018509 <br /> A&kvw: 407 W.Oak St. <br /> Lodi,CA 95240 <br /> PYmw: (209)36M75 Fax: (209)3694377 �F <br /> &oeil Addnaa: abbyClo a Lcorn <br /> Contact Person: Abby Rocco g <br /> Mect Name: Lavelle Property,32521 S.Koater Rd.,Tracy g 8 <br /> Ptralrae Order Numbs: � 6� � <br /> QIGte Number: dd o € o <br /> m$ $ FE <br /> Srmpla(s): Jessen Welch <br /> SimPlinagFee:" PwkV Fm: <br /> Crnpoeftor Setup Date: Time: <br /> seep Location Description Date Time <br /> YM Sampled S.Vled <br /> 9 Travel Blank (/rG 2 X <br /> medic Wen G 3 P/G P PW SRC O 4 X X <br /> Remarks iriquiahed Time: Dau: Time: Relnquehed DNe: Tina: <br /> //1 /7ep C <br /> v Ten e: lRoceivedBy. Date <br /> l:/ Time: R - By: Dab: Time: <br /> /0-21 //( /t JA6 <br /> Corporate offices a Lebenrary Office a labondwy Office a Labmneory <br /> a53 Corporation Sweet 2500 Stagecoach Roam SW E Undo Avenue VI Ita,CWaomie <br /> Same Pauli,CA 93080 Stoddon,CA 95215 Chico,CA 65028 :559/7349473 <br /> TEL:805/392-2000 TEL 20W942-0182 TEL:530KA43-WIS :558737-2390 <br /> FAX8054264172 FAX 209942-0423 FAX:5301343-3807 FAX 55W734.8435 <br /> CA NELAP Canecaeon No.01110CA CA ELAP CaBPk dbn No.1583 CA ELAP Cerbfcation No.2670 `/ <br />