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CHAIN OF C USTOL <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> 21��,b N umber:i r: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak Geo Envi ron mental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> USH in <br /> Phone: (209) 369-0375 Fax: } <br /> Email Address: abby@logelodi.com <br /> Abby Racco 8 <br /> Contact Person: <br /> Project Name: R4,, L., 4 o 1 LJ• O A k Si (.�>� )10. <br /> Purchase Order Number: , C1 0% <br /> s € <br /> o <br /> Quote Number. a o m m o <br /> _ 8 Z� <br /> Sampler(s): ca 3 _ S a <br /> i8 rR _ <br /> L 0 3 <br /> 08 <br /> Sampling Fee: _ Pickup Fee: n a m & ?r <br /> E z C $ F a� =ui i <br /> Compositor Setup Date: Time: co .2 s 6 a „ >" <br /> 77 <br /> Samp I Location Description I Date I Time <br /> E <br /> Nam Sampled Sampled z' rP in rR <br /> t-zZ-21 111.30 G . 1 . P X <br /> 1-74.7-1 q:cro 6r . I : 1P . X . . . . . <br /> Remar Relinquished Date: Time: Relinquished Date: Time: Relinquished Daw Time: <br /> 53 <br /> 1 Receivcd By: Date: Time: R ived By: Date: Time: R ived By: Date: Time: <br /> 9t6 �-2g 'ZJ 0530 ( 2 ' -10 2'ci 2t q3 <br /> Corporate Offices&Laboratory Officev&Laboratory Office 8.Laboratory Field Office <br /> 053 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula.CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:5301343-5018 Mobile:559!737-2399 <br /> FAX:805/525-0172 FAX:209/942-0423 FAX:530/343-3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />