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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> La tDnb TEST DESCRIPTION AND ANALYSES REQUESTED <br /> :Client: Live Oak GeoEnvironmental <br /> iCuslomer Numtxr: <br /> Address: 407 W.Oak SI. <br /> Lodi,CA 95240 2 ii ff <br /> Phone: (209)369-0375 <br /> Fax: (209)369-0377 <br /> JP.me9Addaes: abb (M elodl.com <br /> '•Contact Penson: Abby Sacco { <br /> P,ojca Name: Silva Property,18459 E.Hwy 120,Ripon `• # gg� i - t ? 1€ ] $] <br /> Purchase Older Number. (�L } i E. 13 <br /> Qum Nmabcr. fs <br /> 4 I i <br /> SuaplMs): Jessen Wench ��j - �i : ] � a��. � � �i t�E€ � I ! � '• t � i <br /> ? I <br /> �Sampling Fa: Pickup Fee: <br /> Compositor Setup Dam: Time: 2 ` ,r—.' /%J ]II 1 <br /> '.Sump Locadon Dexnptmn TusmE' <br /> . <br /> Nunn I SampDale '@ <br /> led..I-_Sampled z ms-h <br /> - <br /> 0 �Travel Blank .. /�'/G /�� ®� 4 <br /> 1 ,Domestic Well . , ���. /yam G € 9, -PIG PDW .S_RCiO 4� X ,, .. <br /> - .__ ...�_._.. ,._. ,. ,.,..,...,_r .... <br /> .. ... r..... .n�.. . ' S .� ' Ep i._. i <br /> ;. ...._.. . .....__` - . _. 1444--F <br /> t <br /> : <br /> RCD1aLICS <br /> Time:elbpuiahed Time: rpmshed Relinquish e <br /> Tim: <br /> ►a]� <br /> Rceeive Dat : Tim: R ved te: Time: By. k: Time: <br /> 8�/l, /�/� m y 1; /7b-Z, Lcc� � <br /> Corpomm Omean a laboratory Office&Laboratory Omcs&laboratory Field Office, <br /> fl 9 Corporation Steel 2600 Sta9000ach Road 563 E.UncloAvemm vrealla,Cailfomla <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chino,CA95928 TEL 559/734-9473 <br /> TEL:6051392-2000 TEL:209/942-0182 TEL:530843.5818 Mobile:559/737-2399 <br /> FAX 805/5254172 FAX:2091942-0423 FAX 5308433807 FAX 559/734-8435 <br /> CA NELAPCor18me0on No.01110CA CA ELAP Cer5ficalmn No.1563 CA ELAP Codification No.2870 <br />