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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> i��vb"73 i <br /> ;Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> t _ ? i z - <br /> Adaress: <br /> 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Ph... <br /> (209)369-0375 Fax: <br /> ';Email Address: abby@logelodi.com <br /> g <br /> Contact Person: Abby Racco . F <br /> P, <br /> Project Name: Martinez, 9216 W. Lorraine,Tracy, CA <br /> Purchase Order Number: <br /> Quote Number. dd o o ftZ <br /> C> <br /> Samplerts): -e2 6 <br /> • <br /> Pickup Fee: 2 <br /> Sampling Fee: —X: C4- <br /> Compositor Setup Date: Time: <br /> U) <br /> Samp Location Description Date Time .13 <br /> Sampled Sampled z jF� Qg <br /> 0 Travel Blank '113/11 <br /> G 2 1 G X <br /> 1 I Domestic Well <br /> G 3 PIG! P DW e 8RC 0 X x <br /> w <br /> r <br /> Remarks Relinquis Qatc:, Time: Relinquished Da Time: Relinquished Dale: Time: <br /> 17" G-6Q <br /> 7 Day RUSH Received By: Date: Time: Received By: Pate:, Time: Rrritcd-By: Time:'me: <br /> Corporate Off-teas&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linclo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:5301343-5818 Mobile:5591737-2399 <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 />