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e ENVIRONMENTAL <br />CHAIN OF CUSTOL <br />AND ANALYSIS REQUEST DOCUMENT <br />Date: Date: Time: Time: Relinquished Relinquished <br />9.1st Tilsrib\er: TEST DESCRIPTION AND ANALYSES REQUESTED <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 <br />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: 12.t.L.4wj,tjLy....,-, 4 01 (A) ' ° kit" C4 (-6512 <br />ce% Purchase Order Number: <br />Quote Number: <br />Sampler(s)- <br />gt- <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />Location Description <br />1 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />TEL: 805/392-2000 <br />FAX: 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Address: <br />Samp I <br />Num <br />Time <br />Sampled <br />0:30 <br />:cro <br />ent aut pecf.ed,k_ Q Method of Sampling: Composite (C) Grab (G) Cr <br />Date: Time: <br />1-7.1C--24 q 5-3 <br /> Time: <br />1.25t ,7i1 0153 <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <br />CA ELAP Certification No. 1563 <br />t: Type of Containers: Glass (G) Plastic (P) VOA (V) Metal Tube (MT) Potable (P) Non-Potable (NP) Ag Weer (AgW) Soil (S) Sludge (SLG) Sold (SW) Oil (0) Bact: System (Sys) Source (SRC) West -8 <br />a_ ce <br />Sat <br />ce <br />0 CC <br />w — .6 -5 05 o •-ct <br />A <br />Relinquished <br />1.211 .kilfroCi6 <br />ived By: Date: Time: <br />(2(2( 6135 <br />Field Office <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX: 559/734-8435 <br />Reeivcd By: Date: Time: <br />(,2t74 1,110 <br />Office & Laboratory <br />583 E. Linda Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />Date <br />Sampled <br />Remar