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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> 410 AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016605 f7 °7 , `7�et i <br /> Address: r i <br /> 407 W. Oak SL <br /> Lodi,CA 96240 :J. <br /> Phone: (209)369-0375 Fax: <br /> Em38 Address: abby@logelodi.eom <br /> Contact Person: Abby Raeco 9`3 P3 <br /> Project Name: Rainwater,407 W. Oak St., Lodi 11 U <br /> Purchase Order Number. Y <br /> Quote Number: <br /> c 6 m� <br /> Sampler(s): <br /> y r0 N <br /> o a oQ . <br /> Sampling Fee: __ Pickup Fee: s g h— „ N S F _= d <br /> Z � --v, <br /> Compositor Setup Data __ Time: B tB m E a ; <br /> m <br /> Samp I Location Description I Date I Time E <br /> Num Sampled Sampled § z' <br /> 1 Rainwater 3-16-Zv /o•.oD G 1 P X <br /> i. <br /> Remarks Rcli ishcd Date: Time: Relinqu'h Date: Time: R inqu' cd Date: Time: <br /> � I� <br /> 7 Day RUSH <br /> Receive By: Date. Time: Received[1y: te; Time: y: te: T'me: <br /> 13r�� 3 1O 21) )qzD 31� 5 nI W1 <br /> Corporate Offices&Laboratory Offict&LaboratoryOHlce 8 atw story Fleld Oftice <br /> 853 Corporation Streot 2500 Stagecoach Road 563 E.Lando 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:5301343-5618 Mobile:559/737-2399 <br /> FAX:805/525-4172 FAX:209/942.0423 FAX:530f343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certificabon No.1563 CA ELAP Certification No.2670 <br />