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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 203�,t�'✓�, _ _ <br /> Client: Live Oak Geo Environmental <br /> Customer Number. 3016608 t r~ 17;:,77'1, <br /> Address: 407 W.Oak St. i r � <br /> i <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> rmail Address: abby@logelodi.eom 8 <br /> Contact Person: Abby RaccO ~ o£ $ <br /> ProjMName: Rainwater,407 W. Oak St., Lodi >, U <br /> Perchase Order Number. <br /> Quote Number: <br /> Opt g <br /> �C3 <br /> Sampler(s): <br /> lL <br /> U <br /> K <br /> B N. <br /> �1bht' (ZacCoZ <br /> Sampling Fee: Pickup Fee: t .y— co = a <br /> Compositor SetuDate: Time: <br /> Samp Location Description Date Time z <br /> E ,- {j {i •~� rib Z; <br /> Num( I Sampled I Sampled � r H $ C1 C2 m J a I <br /> 1 Rainwater 3-1&-7,0 jo'.oD G 1 P _ X <br /> a _cy.r.� <br /> t <br /> t <br /> t <br /> r <br /> RCI11aC S Rclin uished Date: Time: Relinqui had Date: Time: R inqu' ed Date: Time: <br /> 7 Day RUSH <br /> Roecive By: Date: Time: Received By: te: Time: y: D te: T'me- <br /> 3 ,� l yz� 3 f O n ) �I <br /> Corporate fees 8 Laboratory Offict&LaboratoryOffice 8 abo atory Fleld Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda,Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559!734-9473 <br /> TEL:8051392.2000 TEL:209/942-0182 TEL:530[343-5818 Mobile:559!737-2399 <br /> FAX:8051525.4172 FAX:209/942-0423 FAX:530/343-3807 FAX:5591734-B435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />