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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Nwnber. 1 TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmenlal <br /> Customer Number: 3016608 <br /> Addmss: 407 W.Oak St. <br /> Lodi,CA 95240 <br /> Phone: (209)369-0375 Fax: (209)369-0377 <br /> Email Address: abbyltDkr OW-Com $, <br /> I ' <br /> Contact Peru: Abby RaCCo j <br /> j Project Name: Phillips Farms,14647 N.Ray Rd.,Lodi Sif <br /> Purchase Order Number: ri pIT2. <br /> Quote Number <br /> sampler(s):Jessen Welch <br /> sampii Pickup Fee. <br /> ' 9t1E I ! <br /> Compositor Setup Data: Time: z . <br /> : <br /> I <br /> Date - i <br /> Time I+ i <br /> Nm► Logdoa <br /> 0 Tmel Blank IP G._ __.___.._._._.. .....__ ._ _. _.. _ <br /> Oomesdc Well 4L+ &4x CJt y�5 I/o, Q g ;:PK3 a P. ;$flC C 4 X X. <br /> W <br /> i <br /> Remarks elinquished e: Tune: Reit I lied Time: R uis ed Dais: T <br /> 7 day RUSH "ll05 - " �7 a V .. . <br /> ed By. Date: Time: Received By: Pte: Time: y i <br /> RU^H 06 <br /> Corporate Offices 8 Laboratory Office 6 Laboratory 8 Laboratory ry Flat Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue e,California <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chloo,CA 95928 TEL:559f734.9473 <br /> TEL:SM92-2000 TEL:209/942-0182 TEL:530/343.6818 Mobile:559/737-2399 <br /> FAX:8051525.4172 FAX:209/942.0423 FAX 53013433807 FAX 5591734.8435 <br /> CA NEIAP CePoficatlon No.01110CA CA EIRP Ceruticabon No.1563 CA ELAP Certification No.2670 <br /> I <br />