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TEST DESCRIPTION AND ANALYSES REQUESTED <br />5. <br />X <br />: i f . i t . <br />i. <br />R'tied D tei Time: <br />15P /477 <br />Relinquished <br />Q1 1 5 Ct <br />Date: Time: <br />1144g I <br />ece6B <br />.1 y: Date: Time: <br />11/ <br />Field Office <br />Visalia, California <br />TEL: 559/734-9473 <br />Mobile: 559/737-2399 <br />FAX: 559/734-8435 <br />ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Sampleds): g Pe.-i-e,r Pc(,) & <br />'i- i Sampling Fee: Pickup Fee: <br />z <br />li g ' <br />Compositor Setup Date: Time <br />I <br /> <br />i 1 1*6 Sarni Location Description 1 Date rune 1 ! 5 i <br />i Num <br /> <br />.. , Sampktd Sampled i t- o- jos I— en <br />0 f Travel Blank !of 1 tz:4-5, G 1 21 G :4 <br />1 Domestic Well I 1 12 45- G . 3 IP/G. P IDW <br />v • <br />!akin: Live Oak GeoEnvironmental <br />'.CNIeuxner Nwnher: 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: Sweeny, 31296 E. Rossier, Escalon, CA <br />Purchase Order Number: <br />Quote Number: <br />I <br /> 0. <br />1.¼5 RgtS <br />Remarks <br />7 Day RUSH <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Pante, CA 93060 <br />TEL: 805/392-2000 <br />FAX: 805/525-4172 <br />CA NEL4P Certification No. 01110CA <br />Relinquished Time: <br />kt9A ,t4 ,Ve qD7C721 I9.24 <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 />Time: <br />Time: <br />PIO <br />Office & Laboratory <br />563 E. Lindo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670