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ENVIRONMENTAL CHAIN OF CUSTODY <br /> iP <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 1151607 <br /> Client: Live Oak GeoEnvironmental <br /> Cu.mmer Number: 3016608 <br /> Adm"": 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone (209)369-0375 Fax: <br /> I <br /> E-mail Address: abby@logelodi.com <br /> Contact Person: Abby RaccO 8 ; <br /> 4 <br /> Project Name: CA Islamic Center, 12828 N. Lower <br /> Purchase Order Number. Sacramento Rd., Lodi,CA <br /> Quote Number. v c o Et = <br /> Sampler(s): �? <br /> E `� � Rei � + 'p <br /> a �0 <br /> Sampling Fn: Pickup Fee: Sy at' 6 to^ `? to a ?_? d <br /> Compositor Setup Date: Time: <br /> - — - m <br /> m rn �- <br /> Samp( Location Description I Date I Time ' {� {3 <br /> Num Sampled Sampled :9 <br /> 0 Travel Blank g-1-1`1 � 35 G 2 G X ; <br /> 1 Domestic Well �-7-1`� /t) .3 G 3 P/G P bW SRC O X X t <br /> i e <br /> r <br /> i <br /> Remarks Rel' u'shed Date: Time: Relinqu•he ate Time: Relinquished Date: Time: <br /> 7 Day RUSH <br /> VY2� 31 1-79D rsp <br /> Received By: Date: Time: Receiv By: te: Time: ved By: Da Time: <br /> MW (j,.. <br /> Corporate Offices 8•Laboratory Office&Laboratoryl Flel O e <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Llndo Avenue Visa�a, lilomia <br /> Santa Paula.CA 93060 Stockton.CA 95215 Chico.CA 95926 TEL:559 734-9473 <br /> TEL:805+392-2000 TEL:209+942-0182 TEL:530+343.5818 Mobile:559+737-2399 <br /> FAX:805/525-4172 FAX:209+942-0423 FAX:5301343-3807 FAX:559+734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />