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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 265233 <br /> Client: Live Oak GeoEnvironmental ( i <br /> Customer Number: 3016608 <br /> Address: 407 407 W.Oak St. <br /> Lodi,CA 96240 ! ! ! <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com I <br /> Comet Person: Abby RaceoNei <br /> ProjectName:Canton,8623 Carey Ct.,Stockton + <br /> Purchase Order Number. q �P EP: <br /> Quote Number: +�P o <br /> Satnpler(s): <br /> P�-I-�' (ick 0i l l i t <br /> E � I z' <br /> .`Sampling Fee: --— Pickup Fee: <br /> Compositor Setup Date: Time: <br /> , <br /> S <br /> f V <br /> Samp location Description Date Time i I is <br /> Num Samp led Sam pled a rR 03 i rn <br /> I ( ( <br /> d i <br /> 0 Travel Blank 'Ib:3 p G i 2 G i X <br /> j <br /> 1 f <br /> 1 Domestic Well g ��� ►0•.3 b 1 G 3 PIG P DW SRC O X X I y <br /> a <br /> t_._s <br /> • � n I 4 � £ M i i � � ! � <br /> 9 L ! 9 <br /> F <br /> 1 i <br /> 5 ff <br /> s <br /> Remarks Relinquished �Date; Time: R11n fished Date: Time: R 'aquas d Date: Time: <br /> 7 Daffy a*RUSH <br /> Received By: Date: Time: Reeerved By: Date: Ti,,: cce Dat Ti.: <br /> 10,4 S 2v [I 26g)q <br /> Corporate Offices&Laboratory Ot-n 8-Laboratory I I ce 6 boratory Field Office <br /> 853 Corporation Street 2500 btagecoach Road 563 E.Lando Avenua I Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:5301343.5818 Mobile:559/737-2399 <br /> FAX:8051525-4172 FAX:209/842-0423 FAX:5301343.3807 FAX:5591734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />