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CHAIN OF CUSTODY <br /> '4 ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> La Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental ; <br /> Customer Number: 3016608 I 1 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 ! <br /> Ptwne: (209)369-0375 Fax: <br /> EmailAdd,ess: abby@logelodi.com <br /> Contact Person: Abby Raeeo <br /> Project Name:COX,30611 E. Edwards Ave.,Oakdale,CA), I 4 r <br /> Purchase Order Number: <br /> Quote Number: +� g x l r j <br /> Sampler(s): 3 9 r <br /> 1tV c� z A iF ! Z <br /> Sampling Fee: Pickup Fee: it z r. I d <br /> — - <br /> b v I' <br /> Compositor Setup Date: _ Time: <br /> m ' <br /> Samp Location Description irate Time {; <br /> 'd i O/ <br /> Num` ` Sampled I Sampled M z' t a' in r m <br /> I <br /> v^ <br /> 0 Travel Blank D G 2 i G <br /> 1 Domestic Well S-3- t-,a ' G3 ;P/G P DW' SRC O X X <br /> F.! <br /> _ . <br /> i <br /> ._ <br /> RUSH 4. <br /> Remarks Relinqui ed Date: Time: Relinquished Date: Time:• Relinquished Date:• Time: <br /> " N'a'"'yRWH <br /> Rec' By: Date: Time: Recei •d By: D te: Time: Received By: Date: Time: <br /> �6,3zo /,w 1015 <br /> Corporate Offices&Laboratory Offl8i&Laborator& FI Id ce <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalie,Califomla <br /> Santa Paula,CA93060 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:805/5254172 FAX:2091942-0423 FAX:530/343.3807 FAX:559!!34-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />