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ENVIRONMENTALCHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2o . . . . . . <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number. 3016605 " ?• r� r'� a t <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 Raeco <br /> Project Name: Rainwater,407 W. Oak St., Lodi N g <br /> U <br /> Purchase Order Number x <br /> Quote Number: <br /> Sampler(s): <br /> r-CIO iS <br /> Sampling Fec: Pickup Fee: N o <br /> z F `� <br /> Compositor Setup Date: Time: E J �' <br /> P P ---- o rn rn as rYi <br /> Samp Location Description Date Time E 49 ti <br /> Num( Sampled I Sampled ' i g 33rR C's iaw a i <br /> 1 Rainwater 3-1 L-2v to-.vo G 1 P X <br /> Remarks Rcli rsh Date: Time: Relinqu'hod Date: Time: R inqu' ed Date: Time: <br /> Ilkl� 3 I d <br /> 7 Day RUSH <br /> Receive By: Date: Time: Received By: D te: Time: y: D s <br /> T'me: <br /> .W& J)10/70 l y7-a 3 101. 5) <br /> Corporate Offices 8 Laboratory Offict 6 LaboratoryOffice 8 Gbolatory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 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:5301343-5818 Mobile:559/737-2399 <br /> FAX:805/525.4172 FAX:209/942-0423 FAX:530f343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />