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CHAIN OF CUSTODY <br /> ENVIRONMENTAL, AND ANALYSIS REQUEST DOCUMENT <br /> aP N m r: I TEST DESCRIPTION AND ANALYSES REQUESTED <br /> I i I1/ r <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number. 3016605 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 ®® <br /> Phonc: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com 8 i <br /> Contact Person: Abby Racct7 <br /> Protea Name:Kimoto,2721 S. Pock Ln., Stockton,CA <br /> Purchase Order Number z <br /> i <br /> Quote Number: <br /> Sampler(s): v 4 of <br /> In— <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Time: t i <br /> z $ f3 --�. <br /> Samp Location Description Date Time Y' <br /> t <br /> Num( p I Sampled I Sampled z § m w m a <br /> 0 Travel Blank j. t-21 11130 G 2 G X <br /> 1 Domestic Well 3-1.ZI ` Il:3a G 3 :PIG P DW; SRC O r X X <br /> e p <br /> .s <br /> Remarks al to <br /> f ct oohed Date: Time: Relin uish Da : Time: i h Dail Te <br /> 7 Day RUSH to <br /> Received By: Dat Time: Rved B . Da Time:: tc: Time: <br /> (,, <br /> 1AA <br /> Corporate Offices 8 Laboratory Office 8:Laboratory Office Lab retory iel Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue isalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559f734-9473 <br /> TEL:8051392.2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:55%737-2399 <br /> FAX:80515254172 FAX:209/942-0423 FAX:5301343-3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />