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ENVIRONMENTAL CHAIN 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. i <br /> Lodi, CA 96240 <br /> phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com <br /> r <br /> Contact Person: Abby Racco o <br /> Project Name:Barajas,9684&9622 E.Mariposa Rd., >t m i i <br /> Purchase Omer Number: Stockton, CA L , <br /> Quote Number. i •E O �, i t r t <br /> Sampler(s): <br /> it <br /> Sampling Fee: Pickup Fee: i — i rz z i i 1 i <br /> gg mor F <br /> Compositor Setup Date: Time: t r7j j S y 3 ° y i 4 j j <br /> Samp- Location Description _ Date Time <br /> Num <br /> l ( Sampled f Sampled z r a m <br /> 0 Travel Blank -tZ 21 t" •ot> G 2 4 G X <br /> i <br /> 1 Domestic Well `� t3-31 t�-�or0.. .. G 3 P/G P DW SRC . .,. X X <br /> • 5 <br /> i <br /> _ 1 , • r r <br /> 1� 4 <br /> 1..... . <br /> T t, <br /> `f • i 3 <br /> EEE .,.,:1m:.N .._,...,. .......... , •...-�..... _.,,..,,. <br /> - <br /> Remarks Reli ished Date: Time; oished te: Time: in i ed Date: Time+ <br /> By: Date: Time: Received By: Date: Time: Dat : Tim . p <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory cold ce <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:5591734-9473 <br /> TEL:805/392.2000 TEL:209/942.0182 TEL:530/343-5818 Mobile:559,737-2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA EL.AP Certification No.2670 <br />