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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> 1Z"Number TEST DESCRIPTION AND ANALYSES REQUESTED <br /> C)C'13 <br /> Mica: Live Oak GeoEnvironmental <br /> ICmdumrmrNmcbcl: 3016608 <br /> :Addmt: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> ;E.-ii Add,..: abby@logelodi.com <br /> Contact Pence: Abby Racco <br /> Project Name: <br /> Willett,26050 E. Edwards Ave., Escalon <br /> Purchase Order Number: <br /> Quote Number: 2 0� <br /> 0 <br /> smnpte'(s); iEW <br /> meo' t <br /> Sampling Fee: Pickup Fee; ]a <br /> lo X -2090 <br /> Compos to Setup Date: rr e� <br /> Time: f 0- <br /> SaMP Location 1)....iptic. -6 of a -Z <br /> Time <br /> E ti it ll. <br /> re <br /> Nurn <br /> Sampled aSmiripledmr —A <br /> 0 Travel Blank <br /> G 2 G x <br /> Domestic Well 0 G 3 <br /> P/G P DW SRG 0 4 x x <br /> F- <br /> T=- <br /> L <br /> -4-4-4 <br /> IL <br /> Remarks <br /> R.* Date, Time: <br /> clawpore: Time: Rdirstuihol Data: Tim.: <br /> r>4'ad By:Z Date: Time: Received Fly- Date: Time: Received By: note: Time: <br /> __-f <br /> Corporate Offices&Laboratory <br /> 853 Corporation Streat _Mce&Laboratory 2500 stagecoach Road Office Laboratory Field Of <br /> Santa Paula,CA 93060 563 E.LindoAvenu. <br /> Stockton.CA 95215 Visalia,California <br /> TEL:805/392-2000 TEL:209/942-0182 Chi.,CA 95926 TEL:559f734-9473 <br /> FAX:8051525-4172FAX:209/942-0423 TEL:530/343-5818 <br /> CA NELAP Codification No.01110CA Mobile:559/737-2399 <br /> CA ELAP Ccrififlectim,No.1563 FAX:530/343�3807 FAX:559f734-8435 <br /> CA ELAP Certification No.2670 <br />