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CHAIN OF CUSTODY <br /> ^;Lff-w ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Numb r. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2�51g0 _ <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 I <br /> Address: <br /> 407 W. Oak St. <br /> Lodi, CA 96240 i <br /> Phone: (209)369-0375 Fax: <br /> ; <br /> F:mailAddress: abby@logelodi.comg ? I <br /> Contact Person: Abby Racco <br /> Pr..jeclName:Rodriguez,26515 N. Vail,Thornton,CA <br /> Purchase Order Number. i o g _O <br /> 1 11 <br /> 'Quote Number: <br /> j Sampler(s): <br /> � o a z Qa O <br /> Sampling Fee: -----_-_----- Pickup Fee: g �ZY x <br /> Z <br /> Compositor Setup Date: Time: <br /> � � s <br /> Sam tionTi—location Description Date Ti ( e p , 'd <br /> js <br /> Num I p I Sampled I Sampled ; z a° rn i <br /> t <br /> a <br /> 0 Travel Blank {et-ao; "halo G 2 G X <br /> 1 Domestic Well -io 11 0 G 3 PIG P DW SRC O <br /> I <br /> 4 <br /> 1 , <br /> Remarks Rcli quished Date: Tient: Relinquished D tc: Time: Relinquished Date' Ti <br /> a7b <br /> - - - - -- -7-Day- - <br /> Received By: Date: Time: Received L Elate: Time: Received By: Date: Time: <br /> 8 n k�w I ),� g�a o2D !Zl <br /> Corporate Offices&Laboratory Office&Laboratory Office&Labe tory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue 0 Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chlco,CA 95926 TEL:5591734.9473 <br /> TEL:805/392-2000 TEL:209/942.0182 TEL:530/343.5818 Mobile:559!737-2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX:5301343-3807 FAX:559f734-9435 <br /> CA NELAP Certir[Catlen No.01110CA CA EIRP Certification No.1563 CA ELAP Cerlification No.2670 <br />