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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANAL MIS REQUEST DOCUMENT <br /> In La TP-ST DCS CRIP110N AND ANALYSES REQUESTED <br /> u <br /> Client: Live Oak GeoEnvironmental pp <br /> Customer Number: 3016608 - <br /> Aaamu: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: =' <br /> Email Address: abbyQlOgelodi.COm <br /> Contact Person: Abby Rocco m d <br /> Project Name:Anderson, 20295& 20795 S. Van Allen, Escalon, CA a= a ��✓� <br /> 32 <br /> Purchase Order Number: a 2 <br /> 3 0 3 oy o <br /> Quote Number: <br /> Sampler(s) <br /> xco <br /> g s� <br /> s , a _� J o 0= �1 <br /> Sampling Fee: Pickup Fee: Ca <br /> v n 5�3 ur <br /> E � o <br /> w m <br /> Compositor Setup Date: 'Time: cg ni °'x E <br /> z p <br /> Samp Location Description I Date 1 the E �+ a v' - -`° '� c y, — <br /> Num Sampled Sampled rn ti m m — <br /> 1 Domestic Well q/gAro I : S G 4 P/G P DW SRC O X X <br /> Remarks -- <br /> Relinquished Date Time: U; - Time Relinquished Date Time <br /> `1��1� 115 6° lGKUS4 Rc h 04 L,5 : <br /> io w 103S <br /> - � t Rece Dat Time: Rec d Da � Time: Received By: ale.- Time: <br /> rpSSi`J Qi <br /> 0 fG �2h I155 0 2lP l�� Pt-C y/0 26 i93S <br /> Corporate Offices&Laboratory Oftic Laboratory Office 8 bo ry Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.- do Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL 559034-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:5301343-5818 Mobile:559f737-2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX 530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA Q CA ELAP Certification No. 1563 CA ELAP Certification No.2670 <br />