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CHAIN OF CUSTODY <br /> °ENVIRONMENTAL AND ANAL YSIS REQUESTDOCUMENT <br /> Lab Number, TEST DESCRIPTION AND ANALYSES REQUESTED <br /> jp Live Oak GwEnvironmental � <br /> :4ltlmma+kc kcr. 3616668 <br /> fAdJre� 467 W.Oak St. <br /> Lodi.CA 95246 i E 1 #III t <br /> pimrw: (209)3690375 F xv(269)3696377 <br /> hw[Addrm abby@logelodi.aom s r ) <br /> Comacr N.. Abby Raced ~ i m 8 (: <br /> i"nryc t Nemc: Van Groningen,14141 E Lone Tree Rd.,Manteca 3 f <br /> Quo¢Numhcr. a b �' ....� o d � r Er � `•'. ,� ) <br /> 0 b 1a. 6 o <br /> sampleo Jessen Welch $ rd s <br /> a l Y <br /> $ a <br /> Sampieng Fitt _ .. Pickup Fee: <br /> m _ <br /> CwrymrWr$dap W, Time: <br /> Samp «Lonuan w tate lin, a E k q <br /> Own Sampl t Sampled <br /> o y <br /> G - 2 G x • _ ... <br /> G - 3 PIG P DW SRC O 4 X X � 1 <br /> i <br /> x <br /> « <br /> E � � <br /> I <br /> Rte ' S¢Fingai•h,d Iva IkLW« d [tar. i mrr. Dote 711* <br /> r3, <br /> . Sy: Time: kwvivpd By: J Sime: aca'e T. View Time <br /> Corpmale Offices E Laboratory lb fl 6 Laimnloq ••••ow.S Lnbeaatory Elm M. <br /> 953 Gupomfmrt Sbeet 2M Slapaaoeen Road 563 E LIW*Averwe Vsw "(.Wi(efRm <br /> Senor Paula.CA93060 Slookbn,CA 95215 Chico,CA95926 TEL 5$917N N73 <br /> TEL 9Wni-2000 TEL 209NMM TEL:5301343.5816 mctule:559.737-2399 <br /> FAX:8055254172 FAX 2091947-N23 FAX:ME I/ 3407 FAX.5,9!734.8435 <br /> CA NELAP Ca f ation No.01110CA CAELAP Co44'.c .N..1563 CA ELAP Coriff"Oon W.2670 <br />