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CHAIN OF CUSTODY <br /> I EnVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> alNbTEST TEST DESCRIPTION AND ANALYSES REQUESTED <br /> /'3 t <br /> i <br /> Client: Live Oak GeoEnvironmental t <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 i <br /> Phone: (209)369-0375 Fax: i '! <br /> Email Address: abbyQlogelodi.com <br /> Contact Person: Abby Racco ^ j <br /> ProjcciName:Terminous RV&Boat,15010 N.Glasscock,)' <br /> Purchase Omer Number. Lodi,CA a g r <br /> Quote Number: <br /> $ 0 <br /> Sampler(s): fq a $ 3 9tr <br /> Sampling Fee: Pickup Fee: <br /> g z' <br /> Compositor Setup Date: Time: <br /> i <br /> a t7r y i <br /> CRRR"' + W <br /> Sump Location Description I Date ( Time g rn 'd ti I <br /> Num I Sampled Sampled ,' ;V .r a rn r N o d 3 <br /> 0 Travel Blank 2-Z3?1 : /0: O G 2 ' G X <br /> _ ...._ _ --- -•. .- . _ <br /> _. <br /> 1 Domestic WellT-2 10 06-1—,G 3 P/G P DW SRC O X X . <br /> i r �. I ; <br /> , <br /> i <br /> r' <br /> Remarks k Relinquished Dat : Time: Relinquis d Date Time: Relinquished Date: Time: <br /> '�" y 321 15;4 <br /> Z 23 ZI <br /> 7 Day RUSH <br /> Received By: Date: Time: Received Dat : Time: Received By: Date: Time: <br /> Io ��JI2 �a�/a! 157 2 z3 Zd2! t76� .� .� <br /> Corporate Offices&Laboratory Office&Laboratory Office 8 Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:8051392-2000 TEL:209!942-0182 TEL:5301343-5818 Mobile:559/737-2399 <br /> FAX:805/525.4172 FAX:2091942.0423 FAX 530/343-3807 FAX:659!734-x435 <br /> CA NELAP Certification No.01110CA CA ELAP CerIficallon No.1563 CA ELAP Certification No.2670 <br />