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CHAIN OF CUSTODY <br /> . ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Z03- 9Liq <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 F-; 9 - <br /> Email Address: abby@logelodi.com <br /> Convect Person: Abby Racco <br /> Project Name:Davis, 12436 E. Harney Ln., Lodi, CA <br /> ee 1 <br /> Purchase Order Number. - <br /> p o <br /> Quote Number: � z • <br /> m b $ zG <br /> U }J cc i <br /> Samplerts): [tiO v 31ii <br /> a v <br /> H <br /> N <br /> Sampling fee: -------.. Pickup fee:. N rn it ?i `t <br /> Compositor Setup Date: Time: co <br /> Z ^ m V m V <br /> to � � I§ � Z <br /> N -4 N <br /> Samp Location Description Date rime e t {� tj , T <br /> z t� <br /> Num I I Sampled ( Sampled 2 r- a r'n A ;9 � s <br /> 0 Travel Blank 5-I9 1 z.c> G 2 G X <br /> 1 Domestic Well G 3 P/G P DW SRC O X X <br /> Remarks Rel' wished Date: Time: AabnQuishcd ate Time: nquish Date: Time: <br /> K-147-to /=12- A /'$�D 1702) <br /> 7 Day RUSH r-It, <br /> ecciv Dy: �/ D te: Time: Received 13y: L% Dal Time: R i y � Dat Time:r 82020 l3�Z ✓ l8 � � 7 �. <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory FId ce <br /> 853 Corpo alion Street 2500 Stagecoach Road 563 E.Lindo Avenue V lia,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:5301343-5818 Mobile:559!737-2399 <br /> FAX:805/525A 172 FAX:209/942-0423 FAX:530/343-3807 FAX:559!734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />