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ENVIRONMENTAL <br />Lab Number: <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Clif nt: Live Oak GeoEnvironmental <br />Customer Number: C3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 Fax: <br />Email Address: abbyQiogelodi.com <br />r t i <br />Contact person: Abby Racco ; <br />Project Name: Cervantes, 2224 N. Beyer Ln, Stockton CACI <br />Purchase Order Number. a tp 0 <br />Quote Number. p g 3 lA <br />Je*' P-acco <br />Sampling Fcc: _ Pickup Fee: y <br />J 8 <br />cz <br />Compositor Setup Date: Time: ._ " E i' Q <br />Samp Location Description Date Time a �' y x ^t <br />Num, --..- .._. ....... .._.._. ...-._ I .�_. S—pkd. z .~k - i - 1 � r; <br />0 Travel Blank J, f1 11:70 G 2 G <br />X 1 <br />1= Domestic Well J.Z* 11:90 4^G+ 4 p/G p DW SRC O X X <br />7 Day Rush <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 805/392.2000 <br />FAX: 805/5254172 <br />CA NELAP Certificatlon No. 01110CA <br />By: ^ f Time: o <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 2091942.0182 <br />FAX: 2091942-0423 <br />CA ELAP Certification No. 1563 <br />Received By: Date- Time: <br />�OyaI0 �07�71 1 WZ <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />4 � ' <br />Received By: ate: Tirrtp: <br />\ Field Office <br />�O l Visalia, Calitomia <br />TEL: 559/734-9473 <br />Mobile: 559f737-2399 <br />FAX: 659/734-8435 <br />. <br />I a <br />i <br />k <br />7 Day Rush <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 805/392.2000 <br />FAX: 805/5254172 <br />CA NELAP Certificatlon No. 01110CA <br />By: ^ f Time: o <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 2091942.0182 <br />FAX: 2091942-0423 <br />CA ELAP Certification No. 1563 <br />Received By: Date- Time: <br />�OyaI0 �07�71 1 WZ <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />4 � ' <br />Received By: ate: Tirrtp: <br />\ Field Office <br />�O l Visalia, Calitomia <br />TEL: 559/734-9473 <br />Mobile: 559f737-2399 <br />FAX: 659/734-8435 <br />t <br />r <br />7 Day Rush <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL: 805/392.2000 <br />FAX: 805/5254172 <br />CA NELAP Certificatlon No. 01110CA <br />By: ^ f Time: o <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 2091942.0182 <br />FAX: 2091942-0423 <br />CA ELAP Certification No. 1563 <br />Received By: Date- Time: <br />�OyaI0 �07�71 1 WZ <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />4 � ' <br />Received By: ate: Tirrtp: <br />\ Field Office <br />�O l Visalia, Calitomia <br />TEL: 559/734-9473 <br />Mobile: 559f737-2399 <br />FAX: 659/734-8435 <br />