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. •, <br />Date: Time: <br />74// /7e0 <br />Relinquished p Date: Time: Relin uished Date: Time: <br />'41 6-4•"b /q44, <br />Semi <br />t- <br />Fie d Office <br />Californ'a <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX 559/734-8435 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <br />CA ELAP Certification No. 1563 <br />71:te: Time: Received BY: piste: <br />if 9 /1/146 M.° e21141 <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3E07 <br />CA ELAP Certification No. 2870 <br />ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br />'Client: Live Oak GeoEnvironmental <br />Customer Numb' 3016608 <br />:Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Ph': (209) 369-0375 Fax: <br />1 Email Address: abbyelogelodi.com <br />Contact Person: Abby Racco <br />; Project Name: WUtzke, 21600 N. Kennefick, Acampo, CA ).1 <br />l Purchase Order Number: <br />Quote Number <br />Sampler( s): <br />i Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: mposite (C) Grab (G) samp I Location Description <br />Num <br />Date I Time g <br />Sampled Sampled § <br />:7-,244! 4) 40 G 0 Travel Blank <br />Domestic Well . _ <br />. G 4'X <br />7-A -ig1 9 00 G 3 'P/G. P 1DW BRD., 0 X . X . • <br />• <br />Remarks <br />7 Day RUSH <br />Corporate Offices 8 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