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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak Geo Environmental <br /> Customer Number: 3616608 <br /> Address: 407 W. Oak St. 4 j <br /> Lodi, CA 96240 i 3 <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com i <br /> l ' a <br /> Contact Person: Abby Racco _ I <br /> Project Name: =w 4�-•-� 4o-Iw• O A),- J 94 • l&vu 71 <br /> � <br /> Purchase Order Number: GA l a a i <br /> Quote Number: - � �E o d <br /> d <br /> d ' <br /> _ o SC <br /> Sampler(s): v _� I' �� 9 c3 � K �� l <br /> w S U) <br /> z <br /> J m m , � <br /> Sampling Fee: Pickup Fee: <br /> Ez G g m -7 G3 f 1 I <br /> Compositor Setup Date: Time. co 8 c a s ii m y <br /> Stump Location Description Date Timeis <br /> i <br /> Num I I Sampled I Sampled z' -(Rn °3 a <br /> 1-2,1-21 1,1-3o G 1 P X <br /> s . <br /> Z 2n,:►,w�,4� 1-zk-zl : q:a L G I .... x . <br /> i <br /> Remar y�, Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Re ve Dy: Date: Time: R ived By: Date: Time: MedBy: Date: Time: <br /> 2X ,2 MS3 ( '2 •y ilcl�?'( q35 <br /> Corporate Offices&Laboratory Officem&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.LlndoAvenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico.CA 95926 TEL:5591734-9473 <br /> TEL:8051392-2060 TEL:209/942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:2091942-0423 FAX:5301343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA FLAP Certification No.2670 <br />