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CHAIN OF CUSTODY <br /> ENVIRONMENTAL � AND ANALYSIS REQUESTDOCUMENT <br /> Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> t <br /> 1 -1 Zy� .- <br /> 'client: Live Oak GeoEnviron mental S I B <br /> Customer Number. 3016608 <br /> Aaam.a: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Paa 8 s € i <br /> '.Email Address: abby@logelodi.com ; F ort <br /> y'contact Person: Abby Racco 3 e 3 $ m p s B <br /> PmjectMme: 277 N. Sibley Rd., Stockton, CA Y � _;B 6rcm to <br /> Purchase Order Number: m 2s R € € $ �= <br /> B i I <br /> v > o to 8 SS E <br /> a o <br /> Quote Number: <br /> Sampler(.): 'e ( ;it Lq <br /> s � S 4m me 3 N e of F Nz ( F S s <br /> ) H 1 ? , <br /> Sampling Fee Pickup Fee: ie m <br /> P B PE Rm z t F I F <br /> Compositor Semp Data: Time. $ M <br /> it <br /> Samp Location Desi iption Dale Time i Sc oij <br /> : $ 5 <br /> t <br /> Num Sampled , Sampled ' z' (� 2 r w I( I - <br /> 0 Travel Blank f 31-11 (O` IZ G 2 Gr X L <br /> i-31-I le ' /) G 3 P/G P `DW SRC O 4 X <br /> X B <br /> 1 Domestic well t.. § )- t---- —+-W` •- _ _- --•.S <br /> ..1.....,. _ <br /> ` ; i 1 g <br /> j t- <br /> Lrla <br /> -1 t A <br /> s., <br /> }ZClltilfkS � �.., 9 / I� / I P - A. nqu' a Date: Time: <br /> Rebn u shed Oto Time: shed am. Time: eli <br /> R By: Da Time: Received By: /gate: Time: e' d y: m: T* <br /> '1.4,77 /f/7 �/�/l <br /> Corporate Offices&Laboratory once&Laboratory Ottice 8 Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chloo CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:559/737-2399 <br /> FAX:805/5254172 FAX:209/942-0423 FAX:530/343-3807 FAX:5597734-8435 <br /> CA NELAP Certification No.01110CA CA El-AP Certification No.1563 CA FLAP Certification No.2670 <br /> 0 0 0 <br />