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• • i <br /> L <br /> ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> 1. Lab Number:: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> ..Client: Live Oak GeoEnvironmental <br /> :Customer Number: 3016608 = <br /> 'Address: 407 W. Oak St. <br /> Lodi, CA 96240 j <br /> Phone: (209)369-0375 rax: <br /> i s <br /> Email Address: abbyC logelodi.com <br /> Contact Person: Abby Raeeo w <br /> o <br /> Project Name: Kaiser Ranch,207 E. Durham Ferry Rd. <br /> c a <br /> Purchase Order Number: Tracy,CA a i?g g z l <br /> Quote Number. <br /> Samplcr(s): <br /> to/�J <br /> Sampling Fee: Pickup Fee: Si <br /> a $ <br /> Compositor Setup Date: Time: 25 <br /> Samp Location Description Date Time s E <br /> Alss <br /> Num I Sampled , Sampled zi I a m- $ <br /> 0 Travel Blank ' G 2 G X <br /> 1 Irrigation Well �/fs�; G 3 P/G P DW SRC O X X - <br /> I <br /> i <br /> i - <br /> Remarks Relinquished Dy e: Time: :Jished pat : Time: Relinquished Date: Time:'' q <br /> Y6&M, /6 (o 114/y 7e <br /> Re dB Date: Time: Received By: D te: Time: Lecd y: D te: Time: <br /> 9/1 <br /> kg Lo J <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linda Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:5591734.9473 <br /> TEL:8051392.2000 TEL:2091942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:8051525.4172 FAX:2091942-0423 FAX:530/343-3807 FAX:559f734-8435 <br /> CA NELAP Corlification No.01110CA CA ELAP Certification No.1563 CA EIRP Certification No.2670 <br />