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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: <br /> Live Oak GeoEnvironmental <br /> CustomerNumber: 3016608 <br /> it <br /> Address: 407 W. Oak St. <br /> V); <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 F-: <br /> Email Address: abbyglogelodi.com <br /> Contact Person: Abby Racco <br /> Project Name:Quintero,6362 Capellino Ct., Stockton, CA <br /> tt €m E � `_ 3 `' t f ; <br /> Purchase Order Number �(r <br /> Quote Number: <br /> ko <br /> Sampler(s): -6 P— <br /> RACC q <br /> Sampling Fee: pickup Fee: <br /> Compositor Setup Date: Time. <br /> Sam p <br /> Location Description Date Time <br /> Num <br /> Sampled Sampled <br /> 0 Travel Blank G 2 G <br /> X <br /> 1 Domestic Well .� -30 'J:YD G 3 }P/G P D)qi SRG 0 f tx x <br /> -4.1 <br /> Vt <br /> .......... <br /> ........... <br /> ......... <br /> ..T <br /> t <br /> Remark Relinquished Date: Time: Rdinq ished Date- Time: 116 fished te. Time: <br /> 3L� tit o Y:J/m <br /> V" <br /> a 7 Dmir R1 ISH <br /> Receive <br /> —J Received By: pate: Time: R A By: Da Time Time! Ed By: Date; ime: <br /> .21L qi3c) fflSVI ��u Iq .,-*7 �b I I ot <br /> Corporate Cifficas&Laboratory Ciffi-Q&Laboratory offlce 8 - bor ory ield Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Pauta,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559t734-9473 <br /> TEL!8051392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX:530/343-3807 FAX;559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />