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ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> %t37%i5 TEST DESCRIPTION AND ANALYSES REQUESTED <br /> g <br /> =creno Live Oak GeoEnvironmental i t I T 1 ! i <br /> j r <br /> Nstomer Number: 3016606 <br /> Aeawae: 407 W.Oak St. <br /> Lodi, CA 96240 I <br /> ar^^e: (209)369-0375 Fa*° <br /> Email Add.,: abby(glogelodi.com <br /> Comact Person: Abby Racco <br /> Project Neme: Maberto, 7066 S. Mobley Rd., Stockton n <br /> i Purchase order Number <br /> Quote Number: i <br /> �1 <br /> Samplerts): O� RQI1iC-V <br /> ' z i <br /> Sampling For Pickup For: <br /> Composnw Semp Date: Time: 5 Sp an <br /> Samp Catalan DescriptionDate Time 1 <br /> Num I I Sampled Sampled �i ,r a w,- $ i m 9 S `: - <br /> 1 Domestic well s/i3//SC I/Y7km G 1 P P DW i <br /> i X - <br /> A <br /> , <br /> " <br /> Remarks l • � Rclin laked Date: Time: R n , <br /> q ' qu Date: T+me. Relinquished Date: Time; <br /> 7 Day RUSH <br /> R By: Dates Time: Rw <br /> eceived By: ate: Time: Reiscd By: Data Time: <br /> Corporate Offices&Laboratory OfBw&Laboratory Office&Laboratory F Id Calm <br /> 853 Corporomm Street 2500 Stageeonch Read 563 E.Undo Avenue Visalia,Califomle <br /> Sante Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:8051392-200D TEL:209!942-0182 TEL:530!343.5818 Mobile:559/737-2399 <br /> FAX:8MS254172 FAX:2091042-0423 FAX:5301343.3807 FAX:5597734-8435 <br /> CA NELAP Cerkr=l on No.07110CA CA ELAP CeMficalmn No.1563 CA ELAP Certification No.2670 <br />