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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab ber: NEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client. Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W.Oak St. <br /> Lodi,CA 95240 <br /> Phone: (209)369-0375 Fax: (209)369-0377 <br /> Email Address: abby@logelodi.eom <br /> 38 <br /> Contact Person: Abby Racco <br /> Calosso Property,15751 E.Prouty Rd.,Galt <br /> Project Name: s a <br /> Purchase Order Number. p <br /> Quote Number: a a o a <br /> Sampler(s): Jessen Welch Z <br /> _ <br /> 3 0 f <br /> " is <br /> CIDc E, a 33 S a z? 4 d <br /> Sampling�Fef Pickup Fee: g .8 m o S m N �yy <br /> NZ t O F G J <br /> Compositor Setup Date: _ Time: n o a 3 mFn <br /> 5 m w ¢ <br /> Samp.. l..ocation DescriptionDate Tina d _ <br /> t <br /> Num Sampled 3 Sampled z' a rn m m`n —i a <br /> _ - X <br /> 0 Travel Blank <br /> 9�Q�y G/33 G 2 G <br /> 1 Domestic Well <br /> 33 G 3 P!G P DW SRC O 4 X X <br /> 9'� �/ /' <br /> _.._ _ Relinquished Date: Time: el t d Date: Time: <br /> RZllltll)CS ch"'Ju»hed Dale: Ti �1 <br /> LQ <br /> ..e.. te. Time: <br /> 3Time: <br /> e d By / � <br /> d By: ate: Time: ��I,, B <br /> lRe��G4t.=- ..;...�.....�.,. LaboratoryField Office <br /> Office S Laboratory Office 8 Visalia.California <br /> Corporate Offices b Laboratory 563 E.Lindo Avenue <br /> 2500 Stagecoach Road TEL:559/734-9413 <br /> 853 Corporation Street Stockton,CA 95215 Chico,CA 95928 <br /> Santa Paula,CA 93060 TEL:209/942-0182 TEL:530/343-5818 -8435 <br /> 9 <br /> Mobile:559/7 <br /> TEL:805/392-2000 FAX:530/343-3807 FAX:559/734-8435 <br /> FAX 805/525-4172 FAX:209(942-0423 <br /> CA NELAP Certification No.01110C <br /> CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />