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ENVIRONMENTAL AND CHAIN QU CUSTODY <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> ,CTicac Live Oak GeoEnvironmental <br /> G\ulamm Number: 3016608 j I <br /> 'Address: 407 W.Oak St. - lV <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: -g - CA I I <br /> Eaeil Addtas: abby@logelodi.com - .Z <br /> ContactP own: Abby RaccD <br /> Pmiect Name: 6425 E. Dougherty Rd.,Acampo <br /> Purchase Order Number. <br /> O B <br /> Quote Number. Ig£ O _ <br /> ?sampla(s). 8 E.,. <br /> ne <br /> gg�; <br /> $ sl i <br /> 8 1 i i I i <br /> -:Sampling Fee: Pickup Fm '€�. <br /> 88 ¢ E <br /> Composimr setup Data: Tlma A ' I <br /> Sam Location Description Date Time Ti 3 - y f; <br /> gg p$ T I <br /> Num I Sampled ( Sampled - K r�i a s rTi j 9 0.v I <br /> _ .., -.-. <br /> 0 Travel Blank <br /> 1 Domestic Well q-4-0--;ro:Lap I G 3 PIG P ,DWSRC O 4 X ; X <br /> t <br /> Remarks - lielingillished- Date: - Tithe: Relinquished /� Dide: Time: Relinquished -DatpiTime: <br /> � a.�a 3 5 J� Iq � IU30 <br /> Received By: Date: Time: y: Date: Time: Received By: Date: Time: <br /> q4-a7 1:v �� /��/ U✓� 9iy/I� lC� �� <br /> Corporate Offices d Laboratory Office Laboratory Office a Laboratory Field OfRce <br /> 853 Corporation Street 2500 Stagoonach Road 583 E.Lltttlo Avenue Usalta,California <br /> Santa Paula,CA 93080 Stxkton,CA 95215 Chloe,CA95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/3435818 Mobile:559037-2399 <br /> FAX 6054525-4172 FAX:2091942.0323 FAX:5301343.3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1583 CA ELAP Certification No.2870 <br /> 0 0 0 <br />