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CHAIN OF CUSTODY <br /> u. ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> r�52o�q <br /> Client: Live Oak GeoEnvironmental ! I <br /> Customer Numbcr: 3016608 t 3 <br /> Address: 407 W.Oak St. r i <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: r y <br /> J <br /> Gmail Address: abby@logelodi.eom <br /> i <br /> Contact Person: Abby RaccO m <br /> ProieetName: Lenzi/Lantz,3222 E. Collier Rd., Aeam o <br /> p <br /> Purchase Order Number: ' a v <br /> d o m_ <br /> Quote Number: fp _ <br /> Sampler(s): �/�1� v 3 9 ci <br /> I J E yv� �Aaz t� q} �'i i z I . <br /> e ug v 0; I <br /> Sampling Fee: _----- Pickup Fee: I m _ �� O <br /> Compositor Setup Date: Time: B Z m E <br /> 5 m m <br /> Samp Location Description Date Time o _ }i ij x A <br /> Pled Sampt a w r rR o� m rn; o `* <br /> Num Sam led z_ - <br /> 0 ` Travel Blank 5141 I rg I(U 30 G 2 " G <br /> X <br /> 1 Domestic Well Xf71/I y ja=30 G 3 P/GP DW SRC O X , X <br /> � l <br /> t <br /> Remarks Re]' fished z <br /> Date: Time: Relinqui ed Date: Time: Relinquished Date: Time: <br /> 7 Day RUSH � ' � Ir`o�_ 0[7-109) mD n(� <br /> Reccivcd fay: Date: Time: Red By: /Date: Time: ived By: Time:vate: <br /> Ig N5 <br /> Corporate Offices&Laboratory Offtc &Laboratoryl I Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559!734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:559!737-2399 <br /> FAX:805/525A 172 FAX:209/942-0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA EIRP Certification No.2670 <br />