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CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Allilhlical <br /> Client: Live Oak Geo Environmental b Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3016608 O <br /> Address: 407 W.Oak Street <br /> Lodi, CA 95240 <br /> Phone: (209)369-0375 Fax: (209)369-0375 <br /> Email Address: welehlodi(cD.vahoo.com <br /> _ A <br /> Contact Person: David WelCh V:) <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: _ g� <br /> Rush Analysis: El <br /> 5 Day 4 Day❑3 Day❑ 2 Day Ej 24 hour G E <br /> t_ <br /> Rush pre-approval by Fab(initats): C <br /> Electronic Data Transfer. ❑No E]State ochent Other: q T <br /> Sampler($)! <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: t— F <br /> Samp Location Description Date Time 1► � d <br /> Num Sampled Sampled <br /> t2a; wG..-I•�,� 5-i1-iq S: �o G Q � <br /> Remarks Retnqu Date: Time: Relinquished Date: Time: Relin fished Date: Torre: <br /> �-(-�-►� 9 ► � , ;-.�-(� ��b <br /> Received By Date: Time: Receiv D it: Time: Rec ' ed g: Dat Time: <br /> :5--/ r ry y:VS <br /> O"We a u6craftey onloe a olfloe a Laeoraeeep on1e*a l.borat«y <br /> on Corporaftn Street 2600 Stagecoach[toed 583 E.Undo A 3442 Empresa Drive.Suite D 9415 W.Goshen Avenue <br /> Sarhte Paula,CA 0.!080 SWUM CA 95215 Chico,CA 9S �(fs�t Lula Obispo.CA 53401 Visalia.CA 93291 <br /> TEL:(WS)392-2000 TEL:(209)942-0182 TEL:(S30) 18 TEL:(905)783-2940 TEL(659)"4-9473 <br /> Env FAX(805)626-4172lAg FAX:(805),192-2083 FAX:(209)942-0123 FAX:(530)143380710;:�oFAX(805)783.2912 FAX:(SW)734.8485 <br /> CA ELAP CeMostion No.1573 CA ELAP Certitlen5on No.1583 CA EtAP N ( �CA ELAP Cerilfeentlon No.7775 CA ELAP CeR romlicn No.2810 <br />