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EIYVIROhMEIYTAL <br />Client: Live Oak GeoEnvironmental <br />Customer Number: 3016608 <br />Address: 407 W Oak St <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />�lumbe TEST DESCRIPTION AND ANALYSES REQUESTED <br />i <br />�.. <br />A l Z <br />Date: Time: <br />0 Travel Blank q/11�Z t <br />5 <br />G 2, G <br />Lodi, CA 96240 ! s l <br />i <br />Phone: (209) 369-0375 Fax: I i <br />Email Address: abby@logelodi.com <br />Contact Pcreon: Abby Racco e� <br />Project Name: Sargent Road Farms, 3592 W. Sargent Rd?I <br />Purchase Order Number. o € x t <br />Quote Number. a c O B <br />Sampler{s): <br />Pew P <br />���$�� <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time. <br />i <br />p t <br />Sam Location Date Time <br />Num I Description Sampled mi <br />_ <br />r ,m <br />A l Z <br />Date: Time: <br />0 Travel Blank q/11�Z t <br />pled <br />ll: LO <br />G 2, G <br />[V <br />ILL <br />Corporate Offices & Laboratory <br />1 Domestic Well 01 2 t Tt l 1. ZO <br />t G 4: PJG P VDW <br />SRC O <br />X X� <br />l <br />SU9, <br />, <br />f <br />563 E. Undo Avenue <br />Visalia, California <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Ii <br />TEL: 5591734.9473 <br />TEL: 805/392-2000 <br />TEL: 2091942-0182 <br />TEL: 5301343-5818 <br />l <br />Mobile: 5591737-2399 <br />FAX: 8051525-4172 <br />FAX: 20 9194 2-04 23 <br />FAX: 5301343-3807 <br />FAX: 559!734.8435 <br />CA NELAP Certificatlon No. 01110CA <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. <br />2670 <br />1 <br />Remarks <br />^, ,^a , <br />I- <br />quis <br />�R y�he� <br />TtRelinquished <br />( <br />I�TimeIRel�ished� CiD•ate: -Ti�� <br />Receiv y: Dat Time: <br />Recei B te:' <br />Time: .cd By: <br />Date: Time: <br />5 <br />a 2r 2t <br />i L,?� 21 �l <br />[V <br />ILL <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />lifftce a bora ory <br />Field Office <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. Undo Avenue <br />Visalia, California <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chtso, CA 95926 <br />TEL: 5591734.9473 <br />TEL: 805/392-2000 <br />TEL: 2091942-0182 <br />TEL: 5301343-5818 <br />Mobile: 5591737-2399 <br />FAX: 8051525-4172 <br />FAX: 20 9194 2-04 23 <br />FAX: 5301343-3807 <br />FAX: 559!734.8435 <br />CA NELAP Certificatlon No. 01110CA <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. <br />2670 <br />