Laserfiche WebLink
CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> L Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> /9. 910 7 <br /> - t i <br /> .Client: Live Oak GeoEnvironmental <br /> us <br /> Cavtomer Number: 3016608 ! <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 R ' <br /> Phone: (209)369-0375 Fax: <br /> i <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby Racco P— <br /> Project Name:Armer, 8891 W. Palmquist Ave.,Tracy, CAti <br /> Purchase Order Number: EP _ <br /> Quote Number: 0 $ i <br /> r <br /> Sampler(s): <br /> Sampling Fec: Pickup Fee: <br /> Compositor Setup Date: Time: m t. <br /> c rn <br /> Samp location Description Date Time 3 '{� I F Q I <br /> Num I Sampled I Sampled <br /> e <br /> 0 Travel Blank - 2_ G __. - _. . X . 1_ <br /> 1 <br /> Lam... .._. ...:.....��._......_.. ....—. .._. ._. e _ .. <br /> 1 Domestic Well -2•l�ji /l:/o G 3 PIG P DW SRC O X X <br /> �:. , <br /> � 1 <br /> I... • . - - <br /> Remarks Relinquished Date: Time: linquishedate: Time: d Date: Time: <br /> '0Q'P �' 7-1"19 iHy� 7//q 17ao elin <br /> 7 Day RUSH <br /> Ree- By: ate: Time: Received By: w te: Time: v By: � ate: Time: <br /> �Az 9 i��� 1�� i7�o % 3 \) 110 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,Calltomia <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:805f392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:2091842-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />