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ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />I Lab Number: <br />i oe/-5 gLeR-5 <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Samplens): <br />Samp <br />Num <br />Location Description <br />,ava 111,7)/ /7r <br />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: abbyglogelodi.com <br />Contact Person: Abby Racco <br />Project Name: Kelly, 2727 E. Acampo Rd., Acampo, CA <br />Purchase Order Number: <br />Quote Number: <br />1 Soil (S) Sludge (SLG) Sad (SL)) Oil (0) SRC 0 <br />Remarks <br />7 Day RUSH <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 />Date: Time: <br />(r-16-1( 12:5-o <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. 1583 <br />Date: Time: <br />70 6 <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530(343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />aids <br />Visalia, Califomia <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX: 559/734-8435 Leaf Tissue (LT) Petiole Tissue (PET) Produce (PRO) Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />I <br />Date Time <br />Sampled I Sampled <br />';• <br /> <br />(A-1,42-X( 61:ic G <br /> <br />p .16 -11 61'. sr G <br />RelinoCished <br />Date.: B.c.rived By flair Tirnr• <br />CA/20U /460 <br />Dar Time: <br />\-1.) <br />Da : <br />tel Office /2j <br />0 Travel Blank <br />1 , Domestic Well