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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number:. TEST DESCRIPTION AND ANALYSES REQUESTED <br /> i <br /> 'Client: Live Oak GeoEnvironmental <br /> ;Customer Number. 3016608 �— <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 i N <br /> Phone: (209)369-0375 Fax: <br /> Emaa Address: abby@logelodi.com <br /> Contact Person: Abby RaccO ~ S <br /> Project Name: Grillo, 11418 E. Comstock Rd., Stockton <br /> Purchase Order Number. <br /> a o P� <br /> Quote Number. g �, <br /> Sampler(s): v z <br /> cfi a mo <br /> Sampling Fee: Pickup Fee: ° rn m H Z i <br /> X. <br /> Compositor Time: c� P <br /> Po Setup Date: <br /> Ts <br /> Samp Location Description Daae Time sy to 'd �}3 t <br /> Num Sam led Sampled �' a S; a`8 i el v, a 1 <br /> �. t <br /> 0 Travel BlankG 2 G <br /> x <br /> 1 Domestic Well it-!(n~ j S G 3 P/G P DW SRC O XU <br /> _:. <br /> pzi <br /> s <br /> t <br /> i <br /> _. . <br /> _ i <br /> Remarks Rel' tshed Date: Time: Relinquished D e: - Time: Relinquished Date: Time: <br /> i <br /> 7 Day RUSH t; 1A- ,,-lip-18 lv". y /� 1-706 jjInlij 1730 <br /> Received By: Date: Time: Received By: D�: Time: Receivctii By: Date: Times e� <br /> /•7U� <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93080 <br /> TEL:805/392-2000 TEL:2091942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:2091942-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA EL.AP Certification No.2670 <br /> 0 0 0 <br />