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_ T- ENVIROhMEnTAI, CHAIN OF CUSTODY <br /> hl AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 203538 <br /> Client: Live Oak GeoEnvironmental I } <br /> Customer Number: 3016608 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 - <br /> EmaitAddress: abby@logelodi.com t <br /> Contact Person: Abby Racco o <br /> Project Name:Chiu, 8744 S. Roberts Rd., Stockton, CA 11 g 76 U <br /> Purchase Order Number: O € o <br /> Quote Number: o _ <br /> a a z E i <br /> Sampler(s): <br /> � <br /> z <br /> Pickup Fee:Pec: z —rZ <br /> Compositor Setup Date: Time: <br /> i, <br /> N `o in <br /> s <br /> m <br /> Sump Location Description Date Time � E � o 42� {j {� , <br /> Num I ( Sampled .I Sampled x z a in r sR m.n <br /> 0 Travel Blank 11-.10 G 2 G X . <br /> 1 Domestic Well y-r)-zo 11.3Z) G 3 P/G P DW SRC O X X „ <br /> :. .7 ; <br /> LIE - <br /> Remarkselfi 'uhed Date: Tim k6inquished Dat Time: Relinquished Date: Time: <br /> — _ -17-2 o 13 1,7 3 <br /> 7 Day—R t Rc`` uy: )ate- Time: Received lty: D tc: Time: keaived By: ate: - <br /> �Un /1/Z0w 1306 A 117 Joao l7 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Fteld Office <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chico,CA 95928 TEL:559f734-9473 <br /> TEL:805/392-2000 TEL:209/942.0182 TEL:5301343.5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:209/942.0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />