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CHAIN OF C USTOi- <br /> S <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> ab Nul be : TEST DESCRIPTION AND ANALYSES REQUESTED <br /> F_ <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address. <br /> 407 W. Oak St. <br /> r t <br /> Lodi, CA 96240 <br /> Phone: (209) 369-0375 Fax: i <br /> Email Address: abby@logelodi.eom E <br /> r <br /> Contact Person: Abby Racco o <br /> Project Name: j�W�}C✓ )t °—� n of <br /> c N d <br /> Purchase Order Number: a $r o € & x h <br /> Quote Number: > <br /> p z <br /> Sampler(s): co <br /> or3 ac z i <br /> c <br /> t^ <br /> Sampling Fee: Pickup Fee: v <br /> Compositor Setup Date: Time. _ _ �,Yss = o a „ y: t <br /> 65 <br /> Sarnp Location Description Dale Time a ; x <br /> Num I p I Sampled I Sampled <br /> AtOl w Onk, Lodi <br /> i i... <br /> J <br /> ,: ,.... .. ._..._f .,. .4 .. .. .. ; .. a .:...,.g..:. �.,..... ., .-.... .. - .. -.....� <br /> Remarks Reli quished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: ate: Time: Received By: Date: Time: Received By: Date: Time: <br /> 4,q 5 (°I Zb2D 13 L/O"dl 5 !9 ZOZt 5 2bL= lol- <br /> Corporate <br /> Offices 8•Laboratory Office&Labor_ ry OfficeI&La oratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Ltndo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942.0182 TEL:530/343-5818 Mobile:559/737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No. 1663 CA ELAP Certification No.2670 <br />