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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSISREQUEST DOCUMENT <br /> wow <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Giem: Live Oak GecEnvironmentai <br /> Ouslomer .Number: 3016608 <br /> Add": 407 W.Oak SL <br /> Lodi,CA 95240 <br /> Phtne: (209)369-0375 Fax: (209)369-0377 _ <br /> Email Addrem: abby@logelodi.com 8�' a <br /> Oo tum Peplum: Abby Racoo E <br /> Project Name: Kramer,28313 N.Thornton Rd.,Thornton ' <br /> Purchase Omer Number: Q € o <br /> Quote Number <br /> Sampler(s): Jessen Welch F <br /> + G <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: 8 g o Jr <br /> 5 <br /> Samp Location Driptian Date Time <br /> Dm ,r; - t j I� 4P, z <br /> Num sampled Sampled a IE <br /> 0 Travel Blank 5'i 'I 1 ?� 5 G X <br /> 1 Domestk:Well '-�}- G 3 PIG P OW RC O X X <br /> Remarks Jtelmquirhed to. Time: Relinquished Date: Time: Relinquished Dee: Time: <br /> ,. Remised By: Dote: Time: Received By. Date: Time: Receival By Date'. The <br /> s)ZS <br /> Corporate Office,d Laboratory ce d Laboratory Office d Laboratory Field Office <br /> 853 Corporabon street 2500 Stagecoach Road 563 E.Lindo Avarua Visalia,Calffomia <br /> Sana Paula,0493060 Stoeldon,CA 93215 Chian,CA 95026 TEL:568/7349473 <br /> TEL:805/392-2000 TEL 2099424)182 TEL 530/343-5816 Mobile:569!737-2399 <br /> FAX:805/526-0172 FAX:2099424423 FAX 530/3433807 FAX:558/734.8435 <br /> r CA NEI-AP Certmwaon No,01110C CA ELAP Certmcatlan No.1563 CA ELAP Certification No.2670 1l <br />