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ENVIRONMENTAL <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> ab N b r: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 3 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 i <br /> Phone: (209)369-0375 Fax: I <br /> Email Address: abby@logelodi.eom <br /> Contact Person: Abby Raceo <br /> Project Name:Van Dyk, 20290/20306 E. River, Ripon,CA), $ <br /> Purchase Order Number. 8 z s <br /> Quote Number. <br /> Sampler(s): v CL w <br /> Sampling Fee: -_ Pickup Fee: <br /> a <br /> zz <br /> Compositor Setup Date: Time: <br /> Samp Location Description Date Tithe <br /> Num I Sampled LSampled , :2 aB <br /> 0 Travel Blank Zr-.Z$- 14-:3e G 2 G <br /> _ - _.. . ..... <br /> X - <br /> 1 Domestic Well G 3 P/G P DW SRC O . X X <br /> f <br /> Remarks / ,��Q(/I� Relinquished Date- Time: Relin uis 0iDav: Time: Relinquished Date,' Time: <br /> GjAA- <br /> 7 Day RUSH <br /> Received�•„ ate: Time: R ived y: te: Time- Received By: Date: Tim <br /> -,f *R <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343.5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX 530/343-3807 FAX:559x734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certtficallon No.2670 <br />