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_ CHAIN OF CUSTODY <br /> NTAL ENVIRONME <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number. TEST' DCSCRI I'PION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental 11 <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. - <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby Racco - <br /> ProjectName: Wongphiboonrat, 23304 S. Hansen Rd., a �' <br /> Purchase Order Number: Tracy, CA o a 3 � <br /> 2 <br /> € o g x <br /> ey <br /> Quote Number: 1 c o <br /> m _ o _ ' w x o <br /> w <br /> Pe4tv- 10&tco N <br /> Sampling Fee: Pickup Fee: 'i z i 3 <br /> z x J <br /> _ o <br /> Compositor Setup Date: Time: rn _� <br /> w <br /> $ 8 o a, gm N y a F <br /> Samp Location Description Date Time 5 e g g <br /> �x <br /> Nam Sampled I Sampled z' cem a e <br /> 1 Domestic Well l 4 P/G P DW SRC O X X <br /> Remarks Relinquished Date IInic Relinquished Date: Time: Relinquished Date: Time <br /> n : <br /> JZ <br /> Received By: Dal Time: Recei By: Date: Time: Received By: Date: Time:. <br /> �[+ : a3 (4p-q'710 ODD U)ft l0 O gI <br /> Corporate Offices&Laboratory "Sta <br /> oratory Office&Laboratory Field Office <br /> 853 Corporation Street achRoad 583 E.Lintlo Avenue Vsalia,California <br /> Santa Paula,CA 93060 95215 Chico,CA 95926 TEL:559f734-9473 <br /> TEL:8051392-2000 -0182 TEL:5301343-5818 Mobile:5591'737-2399 <br /> FAX:805/5254172 FAX:209/942-0423 FAX:5301343-3807 FAX:559f734-8435 <br /> \ ° CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />