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405-1-4 <br /> ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> cSenL Live Oak GeoEnvironmenfal <br /> CLsmmer Number: 3016608 £ I <br /> Add.a: 407 W.Oak SL I i <br /> Lodi, CA 96240 ' <br /> Phone: (209)369-0375 hs. RUSH <br /> 'EmailAddress: abby@logelodi.com <br /> Comet Person: Abby Racco <br /> Project Name: AfWal,28488 S. Bird Rd.,Tracy <br /> Purchase Order Number. fig; V 1 <br /> . <br /> Quote Number <br /> Sampling Fee: Pickup Fee: i $ { i il i <br /> Corrywsilor Setup Data: Time: <br /> ce <br /> Samp I Location Description I Date I Time i 2s ,... 3.. <br /> I <br /> Num Sampled Sampled s i m r%i m m 5 •n s i .•, r <br /> 1 Domestic well b�dll8 i /'l�P/n G 1 P P DW XRUS <br /> T <br /> t —. <br /> , <br /> I <br /> r i <br /> Remarks Relinqu shed Date: Time: R mq 'lied lar Time: elin uDate: Time: <br /> 7 Day RUSH /3 l /,9 /7�rt <br /> g R 'veil By: /te� /�ime: Received By: /_/G teQ /Time: By: ft_ Det � Ti e <br /> /g• �°/G I SQL(jQVJV`l v //O 1`I/C/1 <br /> Corporate ORleos&Laboratory Office 8 Laboratory Office 8 Laboratory Field Office <br /> 853 Corporetion Street 2500 Stagecoach Road 563 E.Lando Avenue Visalia,California <br /> Santa Poula,CA 93000 Stockton.CA95215 - <br /> CA 95928 TEL:559/734-9473 <br /> TEL:8051392.2000 TEL:209t942-0182 TEL:530/3435818 Mobile:5591737-2399 <br /> FAX:805/5254172 FAX:209942-0423 FAX:5301343.3807 FAX:5591734-8435 <br /> CA NELAP Codification No.01110CA CA ELAP CenifloaBon No.1563 CA ELAP Certification No.2670 <br />