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ENVIRONMENTAL <br />Lab Number: <br />Chow Live Oak GeoEnvironmontal <br />Custurner Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Ph—!: (209) 369-0375 <br />Entail Address abby@logelodi.com <br />i <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br />Contact Person: Abby Racco <br />Tinn: woe <br />1-7eD <br />By. Dat <br />Tmie: <br />Project Name:-1-ijero, 23380 S. Austin <br />Rd. Ripon <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL; 5=343-5818 <br />Purchase order Nurubcr: <br />FAX: 5301343-3807 <br />CA EL AP Certification No. 2670 <br />3: <br />Qmc Number: <br />Ask) Pa C &C <br />rn <br />us <br />CIO <br />0 <br />Sumpling Fee; Pickup roe: <br />z <br />Compositor Setup Daw: Time: <br />U-7 <br />in <br />z <br />a <br />a a. <br />S.p Location D11*io. <br />Date I <br />Ti.t <br />'u's) <br />it <br />Num <br />Sampled <br />Sampled 11 <br />eT <br />v .2 <br />0 Travel Blank <br />G 2 <br />G <br />1 Domestic Well -- %,-dkWoLA <br />-7- k-1-2- <br />10: z5- G 4 <br />P/G <br />P <br />DW <br />SRC 0 <br />L <br />Remarks <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93060 <br />TEL; 805/392-2000 <br />FAX: 80515254172 <br />CA NELAP Certification No. 01110CA <br />Date: Time: <br />J. 7,7- 10'. q(" <br />t kap; Date- I inle., <br />Office & Laboratory <br />2500 Stagawarh Road <br />Stockton, CA 95215 <br />TEL; 209/942-0162 <br />FAX: 209/942-0423 <br />CA ELAP Certification No. 1563 <br />tKI <br />I <br />t <br />H, <br />A <br />*d D'ite. a. <br />61f,0_7Z <br />Tinn: woe <br />1-7eD <br />By. Dat <br />Tmie: <br />Otfloo & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL; 5=343-5818 <br />FAX: 5301343-3807 <br />CA EL AP Certification No. 2670 <br />Relinq60ted <br />I \ <br />Received fly, <br />dld Oico <br />V, <br />is <br />California <br />TEL:559/734-9473 <br />Mobile: 559/737-2399 <br />FAX: 55S734-8435 <br />