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ENVIRONMENTALCHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Live Oak Geo <br /> m: Environmenlal <br /> -Llmom.Numb.: 3016600 f € t .•_._ ,. i ! ..'... I .I $ ' s <br /> aMltm: <br /> °Che407 W.Oak S1. <br /> Lodi,CA 95240 <br /> Phmm: (209)369-0375 F..: (209)369-0377 <br /> Finail Addmss: abby@190elodi.com <br /> 2 66 <br /> con%a Person: Abby Rocco 18 <br /> Pmjcct Name Martinez Properly,303 S.Reid Ave.,Und9n ! Isla <br /> Pcmh.Onl.Number. $E a l I I F - <br /> QuulcNumb.: '- <br /> S£ <br /> Sempk*):Jemen Welch <br /> Sampling Fee: Pickup Far: <br /> Compositor Setup Dere: Tim: <br /> _. gg <br /> Same Location Description Detime <br /> Num I I. Sampledm Sempted <br /> z' y <br /> 0 Travel Blank L/-�r�C J�i1S G 2 G :.. X <br /> _ / _.. -. <br /> /J <br /> 1 , Domestic Well 7 'v� �j G 3 PIG P DW SRC O 4 X X y ,fit 1 <br /> , <br /> Remarks elinquished em: Time: Relinquished Date Time: ' n9jbam: Time: <br /> 4. <br /> Reorivcd By: Date: Time: Raelved By: Dem: Time: <br /> 4.ara� rr �NJ -'G IIS 0 <br /> Corporate Offices B LaboratoryOm-- bontory C ---Laboratory Flo Office <br /> 953 Corpaetion street 2500 Stagecoach Road 523 E.LIMO Avenue N Ile,Calaomla <br /> Sante Paula.CA 93080 Stockton.CA 95215 CM1bo.CA95929 TEL:5.C-Ift.,Ial i <br /> TEL:2051392-2000 TEL:202052-0182 TEL:530/343.5818 Mod%:558))372398 <br /> FAXNE62641)2 FAX:2091812-0123 FAX 530/313380) FAX:559)I31-8435 <br /> CA NELALA P CeNBratbn Na.g1110CA CA FLAP CerIMnOon No.1583 CA EI-AP CentBwuon No.2670 <br /> i J <br />