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CHAIN OF CUSTODY <br /> EI`IVI ROHM ENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> zi3�34 <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016606 <br /> Address: 407 W. Oak St. <br /> j <br /> Lodi, CA 96240 ° <br /> Phone: (209) 369-0375 Fax: <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby Racco 3 d <br /> ' �Of <br /> Project Name: 0-11` <br /> a <br /> Purchase Order Number. o cn € o <br /> Quote Number , <br /> o <br /> b 3 z p; <br /> Sampler(s): Iv $ i s E <br /> x <br /> e S 3 8 - �o <br /> Sampling Fee: Picku j F5 S <br /> ti t z m� e E m� d <br /> Compositor Setup Date: Ti me: r m 8 r = m a „ f <br /> I <br /> Samp Location Description Date Time i E g ;, <br /> Num I I Sampled Sampled Z' a:x>: g� <br /> r'n J v Z i <br /> G : 1 P X . ! b _ <br /> i. <br /> .,..._-.4 <br /> j <br /> . : <br /> : <br /> Remarks Reliuish�ed�/�� Date: Time: ishcdnate: Time: Relinquished m Date: Time: <br /> 00 <br /> A0 I <br /> J ReGeTX Da Time: Received By: / 'Date:, Time: Received By. Dale: Time:.4�-?-o. /00-T W& tNO <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.LindoAvenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 85926 TEL:559f734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:559/737.2399 <br /> FAX:805/5254172 FAX:209/942-0423 FAX:5301343-3807 FAX:559!734-6435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />