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t <br />ENVIRONMENTAL <br />` <br />( Lab Number- t <br />Client: Live Oak GeoEnvironmental <br />j <br />'CZtsmmerNumbt- 3016608 <br />' <br />407 W. Oak St. <br />Lodi, CA 96240 <br />Pt,tn,C: (209) 369-0375 r` <br />rimailAddr,": abby@logelodi.com <br />B i <br />Contact Person: Abby Racco <br />a <br />PrejectName; Kuil, 22844 S. Frederick Rd., Ripon <br />it ro <br />G. -tea 5 <br />Purchase Order Numben <br />U) <br />ouOte NUMN'r. <br />O <br />st.Iiplk::o)' [ G4-ew- "OM1( <br />Sampling Fee: ,_- _. Pickup Fee. <br />Comprrsiux Setup Date: �_ _____ Tiate: <br />Samp Location Dmw*itm <br />Ntun . <br />0 Travel Blank�� <br />1 Domestic Well <br />Remarks <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula. CA 93060 <br />TEL: 805/392-2000 <br />FAX: 805!525.4172 <br />CA NELAP Certification No. 0111 OCA <br />p t h 7i <br />V <br />SFJ O 3 Sq <br />~ Nate Time u <br />1 ss ti <br />Sampled Satnpkel z E nom. 53 t- in <br />'C/02 Q.30 G 2 G <br />x 41:30 G 4 P/G P DW <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />TEST DESCRIPTION AND ANALYSES <br />P <br />SRC O <br />E <br />1 s <br />a � a•i � d <br />env <br />m � <br />m <br />y M <br />irt <br />c - <br />X <br />X X <br />Rrli*s <br />1401110,�jj+E�d:• �} CitrtC�:( �+ [f d-�fyy�jl �ig3aTime:(/,tt Time: <br />l4. V! i/ -x — � t:✓ G, 7It G asi <br />wj- <br />�atory bPftca � Laboratory <br />2500 Stagecoach Road 563 E. Linde Avenue <br />Stockton, CA 95215 Chico, CA 95926 <br />TEL: 209/942-0182 TEL.: 530/343-5818 <br />FAX: 2OM42-0423 FAX: 530/343-3807 <br />CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Tit: 'rime: <br />Received W. irate•. Time: <br />Field Office <br />Visalia, California <br />TEL: 5591734.9473 <br />Moblto: 5591737.2399 <br />FAX: 559/734.11435 <br />'C/02 Q.30 G 2 G <br />x 41:30 G 4 P/G P DW <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />TEST DESCRIPTION AND ANALYSES <br />P <br />SRC O <br />E <br />1 s <br />a � a•i � d <br />env <br />m � <br />m <br />y M <br />irt <br />c - <br />X <br />X X <br />Rrli*s <br />1401110,�jj+E�d:• �} CitrtC�:( �+ [f d-�fyy�jl �ig3aTime:(/,tt Time: <br />l4. V! i/ -x — � t:✓ G, 7It G asi <br />wj- <br />�atory bPftca � Laboratory <br />2500 Stagecoach Road 563 E. Linde Avenue <br />Stockton, CA 95215 Chico, CA 95926 <br />TEL: 209/942-0182 TEL.: 530/343-5818 <br />FAX: 2OM42-0423 FAX: 530/343-3807 <br />CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Tit: 'rime: <br />Received W. irate•. Time: <br />Field Office <br />Visalia, California <br />TEL: 5591734.9473 <br />Moblto: 5591737.2399 <br />FAX: 559/734.11435 <br />Rrli*s <br />1401110,�jj+E�d:• �} CitrtC�:( �+ [f d-�fyy�jl �ig3aTime:(/,tt Time: <br />l4. V! i/ -x — � t:✓ G, 7It G asi <br />wj- <br />�atory bPftca � Laboratory <br />2500 Stagecoach Road 563 E. Linde Avenue <br />Stockton, CA 95215 Chico, CA 95926 <br />TEL: 209/942-0182 TEL.: 530/343-5818 <br />FAX: 2OM42-0423 FAX: 530/343-3807 <br />CA ELAP Certification No. 1563 CA ELAP Certification No. 2670 <br />Tit: 'rime: <br />Received W. irate•. Time: <br />Field Office <br />Visalia, California <br />TEL: 5591734.9473 <br />Moblto: 5591737.2399 <br />FAX: 559/734.11435 <br />