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CHAIN OF CUSTODY <br /> ENVIRONMENTAL <br /> AND ANALYSISREQUEST DOCUMENT <br /> Lab Number:// TEST DESCRIPTION AND ANALYSES REQUESTED <br /> ,j0& to <br /> clime Live Oak GwEnvimnmental <br /> Cadomer Number: 3016608 <br /> Adickem: 407 W.Oak SL <br /> Lodi,CA 05240 <br /> phone: (209)388-0376 Fax: (208)388-0377 �F <br /> Email Addm: abby®kgebdl.00m rc <br /> cLctact Pe4 : Abby Recto E g <br /> NjectName: CAlvalropmPS4 8375 .Ray Rd.,Lodi .a'g <br /> Pmdtme Order Nwber £ € € <br /> Sunpier(A. Je86eh Welch ' G ® � s� q^ 3■� � �pryEj <br /> �g d7g! <br /> OE 3 t � 99 yy <br /> Cmpoehcr Some Dam: Time: <br /> SUM Lecadm Dtecriptan Date Time g{ g$ #� y �•^X <br /> W= Sampled Sampled <br /> 0 T kX <br /> k:Wel G 3 P/G P DW SRCI O 4 X X <br /> Remarks uquidmi Date: Time: q Time: Re' ed Dem: Time: <br /> ed By: Dam: Time. eived By: � Time: R ed By', k: Time: <br /> ��� , C,,,!,2,�' AIN i7ev <br /> Coeporab oinan a Lebentary a Labereemy Doi"a LAbomoorll Reid OKke <br /> 853 Corpomoon So" 2 91m9euxrmch Roan 583 E.LirMOAwnue 1/a;a14,CelHomim <br /> Sema Pmulm,CA y30e0 kion,CA 95215 Chim,CA 95628 TEL:550734-9473 <br /> TPI.:8031392,2000 TEL:2091942-0182 TEL:530/343-5816 Mobib:55W737-2399 <br /> FAX:SOW5254172 FAX 209942-0423 FAX:530(343-3607 FAX:55W34-8435 <br /> CA NE:LAP Crtmee6nn No.01110U CA EIAP Ce fk*We No.1563 CA EAP CeM powbon No.2670 /\ <br /> I <br />