Laserfiche WebLink
CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> i� <br /> b�1-� ber: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> u <br /> Client: Live Oak GeoEnvironmenta) i <br /> Customer Number: 3016608 t <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: i <br /> :Email Address: abby@logelodi.com <br /> i <br /> Contact Person: Abby Racco 10 $ <br /> Project Name;Atwal, 7594 W. Linne Rd.,Tracy, CA X _ <br /> Purchase Order Number. ¢ 3 <br /> x <br /> o s € o <br /> Quote Number. < 0 8 = I <br /> o o <br /> z <br /> Samplerts): 9 v R <br /> 'I-OAJJ RA Hca CL $ z <br /> o <br /> Sampling Fee: _ Pickup Fee: t pp�oo 5 a z z <br /> z t� $ E <br /> Compositor Setup Date: Time: o <br /> _ r: <br /> Samp Location Description Date Time p y {3 ti <br /> Num l , Sampled I Sampled z' a rr�r A a is� <br /> 0 Travel Blank 5=J -19 �l�y� '. G 1 2 G X <br /> 1 Domestic Well S-Z$-/91 Mn G 3 PIG P DW SRC O X ; X <br /> . <br /> E <br /> RemarkRelinquished Date: Time: Rclinqui d Dat : Time: Relinquished Date: Time: <br /> el wl <br /> 6--2-8-11 I S33 GJ 2� I l <br /> 7 Day RUSH <br /> Received By: Date: Time: Rec l By: Dat: Time: ecewed By: Date: Time: <br /> Z X33 5 D ` 5 a�1q. I I i <br /> Corporate Offices&Laboratory OfflcA&Laboratory office 8 Laboratory Field Office <br /> 853 Corporation Street 2500 Stageoosch Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343.5818 Mobile:559/737-2399 <br /> FAX:805/5254172 FAX:209!942-0423 FAX:530/343-3807 FAX:5591734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Cerlifcation No.1563 CA ELAP Certification No.2670 <br />