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4-110m, <br />ENVIRONMENTAL <br />!Client: Live Oak GeoEnvironmental <br />!Customer Number. 3016608 <br />jAddress: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fox: <br />Email Address: abby@logelodi.com <br />Comact Person: Abby Raceo <br />Project Name: Shaw, 15766 N. Devries Rd., Lodi, CA �l <br />Pu ha Oni Number <br />rc se er <br />ti <br />By: ` Daft : /Timle:: <br />✓��/�� !7U <br />Office & Laboratory <br />i Quote Number: <br />2500 Stagecoach Road <br />563 E. Undo Avenue <br />Sampler(s): <br />Chico, CA 95926 <br />TEL: 2091942-0182 <br />TEL: 5301343.5818 <br />FAX: 209/942-0423 <br />FAX 5301343.3807 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certifrcatlon No. 2670 <br />Sampling Fee: _ _ <br />Pickup Fee: <br />Compositor Setup Date: <br />Time: <br />Samp <br />Location Description <br />I P <br />Date <br />I <br />Time <br />Num <br />Sampled <br />Sampled <br />0 Travel Blank <br />(�Zt <br />10;W <br />1 Domestic Well <br />S0144 <br />10.20 y <br />, <br />I <br />1 <br />v <br />Remarks <br />iRel <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 8051392-2000 <br />FAK: 805/5254172 <br />CA NELAP Certification No. 01110CA <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br />1 t i 1 1 i i <br />0 CL <br />•5 � �' ; may! � �' �� ,_ � [ i ! , <br />S f fD .9 35I i <br />'Z <br />G.. 2. G X <br />. , <br />G 3 P/G P DW SRC O X X <br />�.. , .. a <br />a <br />t <br />5 <br />e s <br />i £ <br />._._ �:..,,. F ..�.. ..... ...^,.e.. •. ...} ....... ♦ � .. 1 : .•..ice_.. . 1 � 3. I . ... � .: <br />inquished Date: Time Re shed Da Time: elinquish Date: Timebl#< <br />Lid '(1 <br />�l <br />Rc iv DateTime:Received <br />�5 <br />By: ` Daft : /Timle:: <br />✓��/�� !7U <br />Office & Laboratory <br />Office & Laboratory <br />2500 Stagecoach Road <br />563 E. Undo Avenue <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />TEL: 2091942-0182 <br />TEL: 5301343.5818 <br />FAX: 209/942-0423 <br />FAX 5301343.3807 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certifrcatlon No. 2670 <br />Date:- Time: <br />Field Office <br />Visalia, California <br />TEL: 559"34-9473 <br />Mobile: 5591737-2399 <br />FAX 559!734-8435 <br />