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RUSH CHAIN OF CUSTODY <br /> V ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number TEST DESCRIPTION AND ANALYSES REQUESTED <br /> _ /335.32 <br /> Client: Live Oak GeoEnvironmental <br /> �Cueomer Number: 3016606 <br /> IAddless: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phmmc (209)369-0375 Fee: '$ s E <br /> Email Address: abbyQlogelodi.com <br /> Contest Person: Abby Racco <br /> Project Name: Profleet, 2432.3 N. Highway 99,Acampo <br /> PL,n+se Order Number. ' 40 <br /> Q <br /> Quote Number: P� _ d <br /> [ ! i I i <br /> Serol s: <br /> F <br /> j <br /> I <br /> sampling Fee, Pickup Fee. y� �' °r y ; d ,?,s.. I d 1 ! <br /> Compositor SnuP Dale: Tic:. 5 € 3 1 J 1 ! ! ( ! <br /> ..... ..-._. _.._. .. -.__.___ —._ . _. 18 <br /> Samp Location Description Date Time •$� _ i; t `� 1--5 I Z t c f <br /> Num Sampled I Sampled 2� z i,— IJP �i S s t i <br /> 0 ?, Travel Blank 1.3'i 11: G 2 G X <br /> 1 l Domestic Well -_ �-711-1-'�'�1I-€D G 3 'PIG P ,DW. SRC O 1 4 ,.X . X - 1 <br /> I <br /> i <br /> Remarks Relinquished /�� Dore Time: is d�Y– /�FAT> 4 Rdi ed m: Time: <br /> �S µ i'� 3-u-i+ Irsq �� 29 17 ))2:Z /7 / 7et <br /> R Dam: Time: R BY: Date: Time: Received By: Date: Time: <br /> 3-41-17i� :5t J/asf iaa2 ,f ���a�l17 i7 <br /> Corporate Offices a Laboratory OAica a Laboratory ONIco 8 Labored Field Office <br /> 853 Corporation simat /` 2500 Stagecoach Road 583 E.Lmdo Aven Vamlia,Califomis <br /> Saudis Paula,CA 93050 Stocidon,CA 95215 Chko,CA 959 1 TEL 5591734-9473 <br /> TEL 805392.2000 TEL:209/94243182 TEL:530134& Mobile:559f/37-2399 <br /> FAX;805525-4172 FAX:209/942-0423 FAX:530/343 FN(559/r34-8435 <br /> CA NELAP Certification No.01110CA CA EI-AP Car80eaeon No.1583 CA ELAP Carl10ra8 0. 1 <br />