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Type of Containers: Glass (G) Plasbc (P) VOA M Metal Tube (MT) )1 Potable (P) Non-Potable (NP) Ag Water (AgW) Pickup Fee: <br />Time: <br />(3 <br />1 1 g <br />1 <br />g <br /> <br />.2' .1 <br />I <br />Date Time <br />Sampled Sampled <br />i <br />-6 <br />t z <br />II :1 4 5- G 2 .. G . . ,. <br /> <br />.12-4-7P . 11 4 C G 3 PIG P DW SRC 0 <br />Location Description <br />X X <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fax: <br />Email Address: abby@logelodi.com <br />Contact Person: Abby Racco <br />Project Name: Chapman, 4214 E. Liberty Rd., Galt, CA <br />Purchase Order Number: <br />Quote Number: <br />Sampler(s): <br />Sampling Fee: <br />Compositor Setup Date: <br />Samp I <br />Num <br />0 Travel Blank <br />Domestic Well <br />2,1) 4,17/0 <br />Office & La or ory <br />563 E. Llndo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-58 <br />FAX: 530/343 07 <br />CA ELAP Certification <br />)3(ob <br />Lb <br />Ki1C2- <br />ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />I <br />Lab Number: <br />2056C12-2- <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br /> <br />.......... <br />Remar <br />CAA eMt <br />7 Day RUS <br />s- Relinquished Date: <br />- - 7,0 -.,s— <br />Time: Relinquished <br />Re eived By: Date: Time: Received By: <br />Date: Time: Relinquished Date: Time: <br />/././7e) 7.) . 15c ZP-1121) nip° <br />Date: Time: Roceh By: Date: Time: <br />(2A-Vio 1 7.: IC 74 (119° <br />Fi 1 el 0 Ice <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX - 559/734-8435 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: 805/392-2000 <br />FAX 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <br />CA CLAP Certification No. 1563