Laserfiche WebLink
ENVIRONMENTAL CHAIN OF CUSTODY <br /> 'w- AND ANALYSIS REQUEST DOCUMENT <br /> b Numb r 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 /> Phone: (209)369-0375 Fax: <br /> Email Address: abbyQlogelodi.eom <br /> Contact Person: Abby Racco _ <br /> Project Name:Cain, 7550 Country Rd., Stockton, CA �t <br /> Purchase Order Number: C <br /> G � U <br /> fJ O € p <br /> Quote Number. o� p & o S <br /> cS ". <br /> �_ o z E <br /> SamplMs): k�1�� it 9 v ak � v� <br /> 30 ,y �� o <br /> _ —_-- Pickup Fee: o QSampling Fee: --- --. <br /> Compositor Setup Date: Time: i c3 �c aca <br /> G —' <br /> 6 - rn <br /> Samp Location Description Date Time {� }r < <br /> m Id <br /> Num l Sampled , Sampled i z' r a w $ r$ cs m a.i. <br /> 0 Travel Blank /I,s-ICI; 13ot G 2 G X <br /> 1 Domestic Well /(-S-/J.1 1305 r G3 a P/G P fDW SRC O X X <br /> w U <br /> Remark Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Ce �� � -spy !� <br /> 7 Day RUS <br /> Recei By: Date: Time: Received Fay: Date: Time: Received By: Date: Time: <br /> it 33-� 11 djq I CD l lq 10'83 <br /> Corporate Offices&Laboratory =Laboratory Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:805/392-2000 TEL.209/942.0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Cortificallon No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />