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0 ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED 1-7 <br /> f _ <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number. 3016608 at I j <br /> Address: 407 W. Oak St. USH <br /> ' <br /> Lodi, CA 96240 j <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com <br /> ; Abby RaccoContact Person: f <br /> lProjeet Name:Kooger,3149 E. Collier Rd., Aeampo, CA - <br /> Purchase Order Number. ; <br /> Quote Number .a @ p <br /> O <br /> Sampler(s): v u m Fu ! f <br /> 3 cc j <br /> -0 <br /> i 4 <br /> Sampling Fee: Pickup Fee: ' ° ` `�--' { ° z !++ r s . <br /> Compositor Setup Date: Time: 'c = <br /> co <br /> Samp Location Description Date Time 25xy I <br /> p z � <br /> Num I. I Sampled Sampled 2a MA A r9i � :1.1 � Is ! i <br /> 0 Travel Blank ; 3o-11 `la 10 G 2 G <br /> X <br /> 1 Domestic Well <br /> h to G 3 PIG P DW SRC O X X <br /> s - <br /> i <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: elinq h d Date: Time: <br /> 7 Day RUSH A-4 Wo�- QU V1-- (-5/w//I I <br /> Receivyd,�yy Date: Time: Rceei� y: Ti v By: D tc: Time: <br /> 5Iwllq a 5 W 1 l 3i <br /> Corporate Offices&Laboratory Office&Laboratory Office Laboratory Fiold Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:805/5254172 FAX:2091942-0423 FAX:530/343-3807 FAX:559834-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />