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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALPSISREQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> /as0�q/ <br /> Client Live Oak GwEnvironmental <br /> CLsturn.Number: 3016808 <br /> Address: 407 W.Oak St. <br /> Lodi,CA 95240 <br /> phone: (209)369-0375 Fax'. (209)369-0377 <br /> Email Address. Abby@logelcdi..rn <br /> Concoct Person: Abby Racer <br /> 3 <br /> Project Nene: Van Ekleren, 19238&19242 E.Hwy 120,Ripon <br /> Puchaee Order Number, ¢ £ 9LP <br /> € - <br /> oteNumber g a� 9,25 a <br /> 5 88 0 _ <br /> Samplel(s): Jessen Welch <br /> _ g <br /> 3 o s 0 1 1 <br /> Sampling Fee Pickup Fee: <br /> Compositor Setup Date: Time: % u a. gg g <br /> Samp Location DeecriplionDete Time g o V 2 <br /> Num Sampled Sampled Z i- e, �- <br /> 0 Tfavel Blank /2-6-/d U45 G 1 2 1 GX <br /> . r <br /> Domestic Well - G 1 3 1 PIG I P DW SRC1 O 1 X X <br /> Remarks lurquished Date Time Rdwaurshed e. Time: Dere Te: <br /> Date: Time Received By: Pat : Time: eiv ^ �. 1 fe. O T a <br /> V <br /> Corpewate Offleea i Laboratory oe&LaE tory office 6 Labonatery Flew ee <br /> 853 Corporadon Street 2500 Stagecoach Road 503 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93080 Slwi too,CA95215 Chico,CA 95926 TEL 559034.9473 <br /> TEL 805/392-2000 TEL 2091942-0182 TEL 530/343-5818 Mobile'.5591737-2399 <br /> FAX 805/5254172 FAX 2097942-0423 FAX 5301343-3807 FAX 659,734-8435 <br /> CA NELAP Ce"Ificatlon No.01110CA CA ELAP Certlflwtlon No.1563 1 CA ELAP Certification No.2870 /\ <br /> / 1 <br />