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ENVIRONMENTAL AND <br /> iYSIS N OF QD CUSTODY <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> aag� � <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, 5 96240 <br /> Phone: dress bby@l75 Pax: _ auEnaiAd <br /> amss: abLodi, C e9624om j nanQvNon o <br /> Contact Person: Abby Racco desg�s•�°`+ ~ =o <br /> Project Name: Ureno, 29534 S. Chrisman Rd., Tracy, CA a = a <br /> Purchase Order Number: ¢ 2'm <br /> C9 0 3 c9 c 5 O <br /> Quote Number: > = <br /> O o <br /> 3 3 <br /> Sampler(s): <br /> w _ <br /> p,.LcO E <br /> 0— <br /> Sampling Pee: Pickup Fee: - m a m OLn <br /> a d Compositor Setup Date: _ _. Time: _ w A 5 z — m .=a <br /> 0 0 ➢ N ao, F a N i _ <br /> Sump Location Description Date Time E a m z x /� <br /> � rl <br /> Num I Sampled ( Sampled rn C <br /> 1 Domestic Well 3/2/Z6 13:30 G 4 P/G P DW SRC O X X <br /> Remarks Reluis <br /> �VS 1 Thed }Fatee, Time: uished 'gate: Time: Relinquished Date: 'rims: <br /> cery By: ate' Time: Received By: ate: Time: Received By: Date: Time: <br /> 74, /y�{o 3 �aD3G i Ile <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5597734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:559/737-2399 <br /> n FAX 805/525-0172 FAX:2091942-0423 FAX:530/343-3807 FAX:559f734-8435 <br /> io. <br /> -1 CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />