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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> L�b�JV1)mbe / TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Live Oak GeoEnvironmental <br /> Cuuomer Number: 3016608 <br /> Add e9' 407 W.Oak St. <br /> Lodi,CA 96240 ' <br /> : I i <br /> Phone: (209)369-0375 <br /> Email Addrps: abby@logelodi.com <br /> Comes Person: Abby Racoo <br /> 'Pro'em Neme: <br /> Horsley,6100 S. Stanley Rd.,Stockton <br /> -_Purchase Cher Number, I LL <br /> = m t o Quote Number.. F :. «c333 I � <br /> €' 4 <br /> sampler(s): £ <br /> IOo-r/ RAGLO v I 8 s e <br /> "Sampling Fa: Pickup Fa: ( t ("I 9 I d 13 <br /> Compositor Setup Due ... Tim: <br /> Ti <br /> Sem <br /> Location Descriptiontion � Da -. _ Ami /� -•'� 6 <br /> te me _ � <br /> 5 L m I <br /> Num( I Sampled Sampled ,— o- m r— m m <br /> 0 Travel Blank 3-13 1 I 16.,15 4mG 2 , G X ; - <br /> 1 Domestic Wellro:/Sa.t G 3 'P/G P DW SRC O 4 X i X <br /> 3-13 17 ' ` <br /> 1_ <br /> : 4 3 <br /> Remarks Relinquished Due: Time: ' quished } Time: i upM� Date: Time: <br /> 13 /7 /7q U <br /> Recav By: paw. Time: Recelved By: Dnte: Time: y: /f te: Time: <br /> / 3Ij�'7 313 17 /7� ✓/' <br /> corporate of loee 8 Laboratory Mce&Laboratory Office a Laboratory Field OfBee <br /> 853 Corporation Street 2500 Stallecoaeh Road 563 E.Undo Avenue Visalia.California <br /> Santa Paula.CA 93080 Stockton.CA 95215 Chic•CA 95926 TEL:559/730-9473 <br /> TEL:6051392-2000 TEL:2091902-0182 TEL:530/343.5818 Mobile:559/737.2399 <br /> FAX:80516254172 FAX:2091902-0423 FAX:630/3433807 FAX 559/734-8435 <br /> CA NELAP Ca,tJfsoatlon No.01110CA CA ELAP Gemmation No.1583 CA FLAP certification No.2870 <br /> 0 0 0 <br />