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CHAIN OF CUSTOL <br />ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br />Z1313�f -- <br />Client: Live Oak Geo Environmental <br />Customer Numbcr. 3016608 <br />;Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fax: <br />Email address: abby@logelodi.eom <br />Contact Person: Abby Racco m o OQ <br />a.1c ,o a <br />Project Name: &}f)l W• 0 S4 • %ed� Ci I <br />cm a <br />Purchase Order Number: a € 0 <br />m <br />Quote Number: o is <br />a � i5 3 o <br />Sampler(s): co <br />LLA Y a $ g co --m <br />F9 ma 11US010x <br />Sampling Fee: Picku <br />`� tS Z m t• b c J J v V. I <br />Compositor Setup Date: Time: n <br />m ai a`1 <br />fa <br />Samp Location Description Date Time g Z <br />Num I I Sampled I Sampled I i z r- ri m rn a <br />1 Rasr•tar^-�`,. l-Za-Z► Fr%d'v G 1 P X <br />I <br />. .. . . . . . . . . . . <br />I <br />Remarks Reli uisbed�/%� Date: Time: fished %'ate: Time: Relinquished Date: Time: <br />T►"` 1-�9 zl (o'-off �, 9� /"760 <br />Re y: Da Time: Received By: Date:, Time: Received By: Dale: Time: <br />/007 /Z2 ?ATS 17071 � �d�% I �� <br />Corporate Offices & Laboratory Office & Laboratory Office & Laboratory Field Office <br />853 Corporation Street 2500 Stagecoach Road 563 E. Undo Avenue Visalia, California <br />Santa Paula, CA 93060 Stockton, CA 95215 Chico, CA 95926 TEL: 5591734-9473 <br />TEL: 805/392-2000 TEL: 2091942-0182 TEL: 5301343-5818 Mobile: 559837.2399 <br />FAX: 80515254172 FAX: 209/942-0423 FAX: 530/343-3807 FAX: 559f734-8435 <br />CA NELAP Certification No. 0111 OCA CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />