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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 203 <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number. 3016608 <br /> Address: 407 W.Oak St. f •. �. i <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abbyQlogelodi.eom I <br /> Contact Person: Abby Raeeo ~ E3 <br /> Project Name: Rainwater,407 W. Oak St., Lodi n v <br /> Purchase Order Number: q x <br /> c� $� <br /> Quote Number: a e 6 p1 <br /> X06OX <br /> Samplcr(s): e? � <br /> flbb (Za.c fo �S Z <br /> m <br /> Sampling Fee: _ Pickup Fee: o _i a J <br /> _ F <br /> a <br /> Time: <br /> Compositor Setup Date: <br /> Samp Location Description Date Time n {; {) 2 <br /> Num I Sampled I Sampled ' i z r g r $ rn r a s <br /> 1 Rainwater 1 _ P .__X . <br /> . <br /> Remarks Rcli uishcd Date: Time: Rnqu'lied Date: Time: R inqu" cd Date: Time: <br /> it <br /> 7 Day RUSH <br /> Receive y: Date: Time: Received By. I D te: Time: y: 5-DN61 Time: <br /> _g �0 20 I y2a 310 <br /> Corporate Offices&Laboratory Offict&LaboratoryOffice 8 Lbalatory 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:5591734-9473 <br /> TEL:8051392.2000 TEL:209f942-0182 TEL:530f343-5818 Mobile:559/737-2399 <br /> FAX:805/525-0172 FAX:209/942.0423 FAX:5301343-3807 FAX:5591734.6435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />