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, <br />ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />• <br />;31,1;1(1., l'ev 'to ,9 . 3 !FIG, P,1-_)vy:, si3c, o - , 1 i <br />Lab Number: I <br />I /qJ 3 /6. <br />Client: Live Oak GeoEnvironmental <br />Cuswiner Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fax: <br />Email Address: abbyelogelodloam <br />Contact Person: Abby Racco <br />Project Name: Kumar, 16895W. Grant Line Rd., Tracy <br />Purchase Order Number <br />Quote Number <br />Sampleds): <br /> <br />RACC.-b <br />i Sampling Fee: Pickup Fee: <br />1 Compositor Setup Date: Time: <br />I <br />f--- <br />Samp I Location Description Date Time <br />Num I Sampled Sampled <br />.:'•••• <br />,. 0 . Travel Blank 141(hit. 10::10 G 2j Gi <br />: Domestic Well . . <br />TEST DESCRIPTION AND ANALYSES REQUESTED NP) Ag Water (AO) =7,1 <br />-•1-- <br />pate'7 Time: <br />3/1/17 (7 0-6 <br />Date: Time: Remarks <br />7 Day RUSH <br />Corporate Offices & Laboratory <br />863 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 805/392-2000 <br />FAX: 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Relinquished Pale: Time: <br />I '11/e~ P/i <br />Received By: i Dale: Time: <br />Sif81141 (gtgl) <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 2091942-0423 <br />CA ELAP Certification No. 1563 <br />Received By: Date. Time: <br />At) -Vit fig a' VAAV 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 />\)1). \\'\( <br />Ti <br />)\ im() <br />Field Office <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 5597737-2399 <br />FAX: 559/734-8435