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,APPIN�, ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> F2 LSJ nler, TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 ` <br /> Address: 407 W. Oak St. ` <br /> i � s <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: fig <br /> Email Address: abby@logelodi.eom <br /> Contact Person: Abby RaccO Ila , <br /> p <br /> Project Name:McCormick,3657 S. Pock Ln.,Stockton,CA 3 U <br /> Purchase Order Number. ¢ x <br /> Quote Number. o O J9 <br /> Sampler(s): v 3 9 ti a I �Q <br /> u) yry 0 A7 <br /> i <br /> Sampling Fee: Pickup Fce: a ?_ t l <br /> 'Compositor p seer Setup Date: Timr r Z `� CLI i <br /> Samp I Location DeTi <br /> scription I Date me p 1j — <br /> NM Sampled � Sampled � :2 E S r8� Ji .0 �lin � <br /> 0 Travel Blank G 2 G X <br /> 1 Domestic Well * 1-Z'1'zl lI�'�b G 3 P/G P DW SRC O X X <br /> ._ ........ <br /> 1 <br /> RemarlC,S�t - �� C Relinquished Date: Time: Relin fished Date: Time, elinqui Date: Time <br /> /�/,IVIs r ( •2n 1 <br /> 7 Day RU H a I-��-�I ,i: 3 <br /> Received By: Date: Time: Rcclived By: Date: Time: [3y: Date: Time: <br /> *. <br /> Corporate Offices&Laboratory Offl &Laboratory Office&Laboratory Field 616c-o'- <br /> 853 <br /> oe853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,Califomia <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chloo,CA 95926 TEL:559/734.9473 <br /> TEL:8051392.2000 TEL:209/942-0162 TEL:530/343-5818 Moblle:5591737-2399 <br /> FAX:805/525-1172 FAX:209/942.0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Cert•ficailon No.2670 <br />