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_ ENVIRONMENTAL <br />ichent: Live Oak GeoEnvironmental <br />lCustomer. 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 RaOCO <br />Project Name: Shaw, 15766 N. Devries Rd., Lodi, CA <br />Purchase or Number. <br />Quote Number <br />Sampler(s): <br />P— <br />Q D v 9 <br />ti <br />1� <br />SamplingFee: _ _Pickup fee: } a 9 j _ { IL <br />a a ^i d i rn, }666 <br />Compositor Setup Date: _ Time•. B 5 - ?✓ ? fl N 3 „@� `q' 4 <br />Samp Location Description Date35 <br />Time <br />Num ( I Sampled I sampled z , t— a rq <br />0 Travel Blank 5/t1�Z1 t0.7A G 2 G X <br />1 +, <br />1 Domestic Well S/It�Zt �O:ZO G 3 P/G P DW SRC O X X F <br />... M ....,.,...., �.:. t , �.... <br />€ <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br />-? 131.5e3 <br />E <br />9 <br />a <br />4 _ 4 <br />s <br />i -i 1 <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: 8051392-2000 <br />FAX: 805/5254172 <br />CA NEL AP Certification No. 01110CA <br />—A, -1 o /a-cu►I /6(F <br />OMce & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 2091942-0182 <br />FAX: 209f942-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. LindoAvenue <br />Chico, CA 95926 <br />TEL: 5301343-5818 <br />FAX 530/343-3607 <br />CA ELAP Certification No. 2670 <br />Date: Time: <br />\'�” -�v <br />Field Office <br />Visalia, California <br />TEL: 5591734-9473 <br />Mobile: 5591737-2399 <br />FAX: 559f734-8435 <br />I <br />Remarks <br />Relinquished Date: <br />Time: Rc shed <br />Da <br />s„� <br />Time: clinquish <br />� <br />, <br />Re iv Date <br />Time, <br />Received 11y: <br />Dat : <br />Time: 4411-v <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: 8051392-2000 <br />FAX: 805/5254172 <br />CA NEL AP Certification No. 01110CA <br />—A, -1 o /a-cu►I /6(F <br />OMce & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 2091942-0182 <br />FAX: 209f942-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. LindoAvenue <br />Chico, CA 95926 <br />TEL: 5301343-5818 <br />FAX 530/343-3607 <br />CA ELAP Certification No. 2670 <br />Date: Time: <br />\'�” -�v <br />Field Office <br />Visalia, California <br />TEL: 5591734-9473 <br />Mobile: 5591737-2399 <br />FAX: 559f734-8435 <br />