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ENVIRONMENTALCHAIN OF CUSTODY <br /> RUSH AND ANALYSISREQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> / 3,2058 <br /> j <br /> I. _ <br /> cb,nr. Live Oak GeoEnvironmental <br /> iCuslomer Number. 3016606 <br /> Add..: 407 W. Oak St. <br /> Lodi, CA 96240 ! 4 s ! <br /> i <br /> Phone: (209)369.0375 Fax: <br /> Email Address: abby@logelodi.com # <br /> Contact Pmon Abby Rac co <br /> )1 <br /> I'roJret Nem,: Foster,30566 E. Hall Ave., Escalon <br /> Patches,Order Number: <br /> -Quote Number. <br /> ; <br /> Sempleds): <br /> I <br /> S g W ac, <br /> Et g me t 8 1 I I <br /> N F3% <br /> sampling Fee:Fec: PieWp Fee: <br /> u V <br /> Compositor setup Dale Time: Q'" i �! it <br /> Us <br /> Semp Location Description Date Tme y' <br /> Num I I Sampled I Sampled _ <br /> 1 Domestic well d /3-/Y / YSPn G ; 1 . P P_.,DW. .._. j X <br /> { <br /> t <br /> ) <br /> 41 <br /> Remarks Relinquished Date: Time: mq had Dat : Time: ,lin Date: Time. <br /> 7 Day RUSH <br /> cm By: Date: Time: Reciewe l 0y: Dat : Time: ace y: etc: Time' <br /> Nw <br /> Corpomlo OHlco¢& bo ory n Olace&Laboratory Office&Laboratory Fluid Office <br /> 653 a Paul.,C avast �' // Stc6 on,CA 52 5 Chi E.LinCA 9 AVena6 TEL:5.Cal91734.94 <br /> omia <br /> Sen:05139-2000 L(x,{w TEL:2on,CA0182 TEIm,CA 95926 TEL:5591734-9473 <br /> SSW37-23 <br /> TEL:805/392-2000 TEL:209/942-0462+ TEL:530/343-5016 Mobilo:5591737-2390 <br /> FAX:805/625-0172 FAX:2091942-0423 FAR:530/393-3807 FAX:550/7394435 <br /> CA NELAP CerliScation No.D1410CA CA EIRP CeNO,aeon No.1583 CA EIRP Cenlficatlon No.2870 <br /> 0 <br /> 0 0 <br />