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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 1'°X <br /> Email Addrm: abby@logelodi.com <br /> Contact Perron: Abby Racco 8 <br /> Project Name:Morales, 1006 N.White Ln., Stockton, CA >I g <br /> Purchase Order Number: <br /> Quote Number: <br /> Sampler(s): pe-4e' $ 9 <br /> N <br /> N <br /> z <br /> Sampling Fee: Pickup Fec: A i� i6 C, rn & F z i <br /> Compositor Setup Date: Tim: <br /> -. o <br /> Samp Location Description Date Tim E <br /> Num I I Sampled I Sampled C u3 rP r m N °J <br /> 0 Travel Blanket ;10:;d G 2 ; G X <br /> 1 Domestic Well 10-,3o G 3 P/G P DW SRC O X X <br /> us; <br /> Remarks Relin mshcd Date: Time: shed atc: Time: uis Data Time:I <br /> -3/q�r I ��9 �, 1 boa llf 1 <br /> 7 Day RUSH <br /> Rcvpwed.Qy: Dia` Time: Received By: Date: Time: ei% Dat e Time: <br /> --* <br /> (//jJl,)^, U <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory fieldce <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 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:530/343-5818 Mobile:5591737.2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX:530/343-3807 FAX:559f734-8435 <br /> CA NEIAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />