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CHAIN OF CUSTOD_ <br /> A - ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2a 32I <br /> Client: Live Oak GeoEnvironmental I i <br /> Customer Number: 3016608 <br /> address: 407 W. Oak St. i l <br /> k Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby(Plogelodi.eom I € <br /> Contact Person: AbbyRacco ! 3 R <br /> ►,�• cr,�-St <br /> LOA; <br /> 9 <br /> i Ptoject Namc: )t it <br /> Purchase Order Number. ¢ ' 8 = i� <br /> c? o € o V po <br /> i.Quote Number: a > JSIM <br /> Sampler(s). 3 9 o <br /> / H O <br /> 00'.e-LO 4Q �z, <br /> a c 83 a 400 ' <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: 8 z e <br /> Y <br /> N y A 18 <br /> co <br /> Sam Location Description Date Time <br /> Num I I Sampled I Sampled z �- rn b3 m m rn <br /> (L.wr►v�alr�v Z-IZ-lI q.tr0 Cr IP <br /> f <br /> R rks y Rclin wished Date: Time: Rcl'71vS# <br /> Time: Relin i ed Date: Time: <br /> r-1 <br /> 5.a Received By: Date: Time: Received By: Date: Time: Received By: Date: Time <br /> Z -(Z -Z) �1i2 2 ` '2.12.21 <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2600 Stagecoach Road 563 E.LindoAvenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343-5818 1{�, Mobile:559f737-2399 <br /> FAX:8051525.4172 FAX:2091942-0423 FAX:530/34 FAX:559!734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP No.2r/!�,4 I <br />