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19USH <br /> ENVIRONMENTAL A CHAIN O QUESTDOOUM NT <br /> / <br /> Lab 11 TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 1105'T 33 _ - <br /> "orat: Live Oak GeoEnvironmental <br /> Customer Number: 3016606 <br /> Addms: 407 W.Oak St. <br /> Lodi,CA 96240 1I j j <br /> !Pb--' (209)369-0375Fez+ <br /> !Fmil <br /> ' <br /> Adores: abby@logelodi.00m P IB ! ! ! F '• j i E j <br /> contact Person: Abby Racco j = i ( M I 3 IE ii p <br /> Pmiem Namc: HD <br /> i Supply,3601 NavCoCne.,. Stockton <br /> Purchase Order Number. <br /> j s <br /> Quote Number: $ <br /> Sampler(s): <br /> i I <br /> i <br /> on <br /> 10 1 <br /> isampling Fee: Pickup Fee: j �• ,u �' c _¢: J- i { I <br /> 1 Compositor Setup Date: Time: + ^ £ €� F <br /> g zm� <br /> Semp Location Description Date T E Id <br /> @ tl j I 1 <br /> Num — <br /> Sampled I led - z r rY w rR � � 3� ,...:- III <br /> 0 Travel Blank _!� JS / IJ-`/D p,.,G 2 G �X^ <br /> 1 Domestic well G 3 i P/G P DW SRC O 4 X + X <br /> , S <br /> Remarks Relinquished Time: R Date: Time: Date: Tim. <br /> --�p , 1 /71 _/0 It-'J 3 7 G /7 <br /> oPa 1� (ZvS F� <br /> cal Y: ate: Time: Received By: 4: Time: y: 1 Da Time. <br /> I <br /> /7v �� I�P <br /> Corporate Move 8 Laboratory Office&Laboratory O18ce 8 Laboratory Fletd ONlce <br /> 853 Corporation Street 2500 Stagecoach Road 583 E.Undo Avenue 1=1a.California <br /> Sent Pala,CA 93080 Stockton,CA 95215 Chico,CA 95928 TEL:5597734.9473 <br /> TEL:t1M92.2DDD TEL:209/942-0182 TEL:5301343.5818 Mobile:5591737-2399 <br /> FAX-80515254172 FAX:2081942.0423 FAX 530/3433807 FAX:559!734-8435 <br /> CA NELAP CeatBcetion No.01110CA CA ELAP Certification No.1583 CA ELAP CONOcation No.2670 <br />