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noEI`fVIROhMENTAL ACHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Z03(10y5 <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: abby@logelodi.eom <br /> Cumact Person: Abby Raceo 41 0 8 ✓ ;1 t, <br /> Project Name:Rosas, 1739 W. Piper PI.,Tracy, CA <br /> Purchase Order Number. a 2 <br /> c? o <br /> Quote Number: <br /> n O tt m <br /> Sampler(s): v $ 3 g Ei <br /> .r g a <br /> !2 m <br /> o i a d m0 <br /> Sampling Fee: ---_.__----- Pickup Fee: £ in <br /> d rn ? <br /> Compositor Setup Date: Time: o £ a <br /> � c5 (� <br /> 63. <br /> Samp Location Description ( Date I Time E g t; Id <br /> Num Sampled Sampled 2 t- R <'n t- (53 9 m <br /> 0 Travel Blank 5-Ik 20 (z--3o G 2 G X <br /> 1 Domestic Well j-30 G 3 P/G, P DW. SRC O X X <br /> s <br /> MY <br /> Remarks ;�I� <br /> Dote: Time: Re' ""shed / Date: Time: qu Date: Time: <br /> 7 Day RUSH <br /> s-1k- 1 :(Z `,//8Zoo 174b <br /> Rcceiv y: Date: Time: Received By: � �Date: Time: civ Date- Time: <br /> min <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory 44 Fi ild Olfice <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.LIndDAvenue 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:530134 3-581 8 Moblle:5591737-2399 <br /> FAX:805/525-4172 FAX:2 09194 2-04 2 3 FAX:5301343-3807 FAX:55917 34-84 3 5 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />