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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental + I <br /> Qntumer Number: 3016605 <br /> ;Address: 407 W. i I t I <br /> Oak St. <br /> Lodi,CA 96240 <br /> 209 369-0375 i <br /> Phone: Fax: <br /> Email Address: abby@logelodi.eom a <br /> Contact Person: Abby Racco i o $ <br /> Project Name:CA Concentrate,4620 E.Clarksdale Rd. <br /> Purchase Order Number: Acampo, CA <br /> Quote Number: > OJR <br /> z� <br /> Sampler(s): ori UP- <br /> 9 _ <br /> s x F o� i <br /> Sampling Fee: Pickup Fee: s d 3-, y & ? <br /> 1 <br /> F � Q i i <br /> j4 z Q , <br /> Compositor Setup Date: Time: a 0- <br /> , <br /> Samp Location Description Date Timc $ x <br /> Num I , Sampled I Sampled z t C2 r'n t— , to m in a s <br /> r <br /> 0 Travel Blank ���jj Y I Ifl52 G 2 G X _ <br /> l <br /> 1 Industrial Well �ou h 1052 G 3 P/G P DW SRC O X • X <br /> x <br /> i <br /> : <br /> N... . u <br /> .... J i ,J. i 4 [ .:.,.i •.mss. .., ... . . ._. ., .. <br /> Remarks Relinquished' Date: Time: Rel' hed D te: Time: Relinquished Date: Time: <br /> 7 Day RUSH <br /> �� �� <br /> R v y: Date: Time: Received By: Date: Time: Received By: ate: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&/Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chlco,CA 95926 TEL:5591734-9473 <br /> TEL:805/392-2000 TEL:2091942-0182 TEL:530134 3-581 8 Mobile:5591737-2399 <br /> FAX:8051525-4172 FAX:209/942-0423 FAX:5,301343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Cortificatlon No.2670 <br />