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0 Travel Blank <br />Domestic Well <br />Remarks <br />cA le,fit (-tow <br />Day RUSH <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 805/392-2000 <br />FAX: 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Rclinqui hed Dale: Time: <br />ri —f7—// <br />y 5111119 iti5D <br />Offi A. Laboratory <br />250 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <br />CA ELAP Certification No. 1563 <br />Date: Time: Recei d By: <br />art 5111 Relinqui=hed ,Daili <br />Rcc .vticl By: Dat • Time: <br />5)) 161 <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />Relinquished <br />CLc <br /> <br />5\ ILO t30 <br /> <br />Date: Time: <br />Received By: Date: Time: <br />S\v151c-I <br />Field Office <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX: 559/734-8435 <br />14% ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br /> <br />ab Nuritcy; <br />31-1 U <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />ii. <br />Sampled s) 6 2 <br />.----a k <br /> <br />((Amy releCo E. , o ..... <br />8 ' i <br />Sampling Fee: Pickup Fee: i't N ••• <br />I • A § Compositor Setup Date: Time: e) <br />'S 8 <br />sampi <br />I <br />Location Description <br />I <br />Date Time <br />Num Sampledpled Sampled <br />z .8 <br />ai 2 .1 1 2 1- <br />Phone: (209) 369-0375 Pax ' g <br />Email Address: abby@logelodi.com <br />Contact Person: Abby Racco <br />Project Name: Madzier, 11006 E. St Rt 120, Manteca, CA)! <br />Purchase Order Number: <br />Quote Number: Bact System (Sys) Scums 2 G <br />3 ,PIG P ..DW . §Fig o .