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CHAIN OF CUSTODY <br /> EPM RONMENTAL AND ANALYSISREQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> l35 09 75 <br /> Cliem: Live Oak GwEnvimnmental <br /> Dnp Nmnber'. 3016608 <br /> Adders: 407 W.Oak St. <br /> Lodi,CA 95240 <br /> Phan; (200)369-0375 Far: (209)3BM377 <br /> Finan Addrma: abby®logelodl.conn d <br /> Conmet Peron: Abby Ra= o <br /> Project Nemo Babgh/Kent Property,19625 N.Southworth Rd., $y <br /> Lodi £ ¢ g <br /> Purduee Ord.Number. Q <br /> Quoue Numbs: = <br /> Sampler(s): Jessen Welch <br /> SamplingFee: Achry Fee: <br /> a =F � <br /> Compmita Setup Den: Time V <br /> s A <br /> Setup Location Danipeen Deu Time $$ <br /> Num I Sampled Sampled 2 <br /> 0 Travel Blank L2-1 11400��ii,, c x <br /> m <br /> 1 Domestic Well 3 .(/v G 3 PIG P DW SRCJ O 4 1 X X <br /> Remarks Imqulshede: Tune d Tema'. e. Time: <br /> 773 Dat��°D <br /> Recti ed By. Dau: time�:��/ d °�j Time r Tun <br /> 8.7-13 <br /> COIPOnate OBrces 5 Laboratory Office 6 Lal watery OtAee 6laborarory Reid 01aee <br /> 893 Corgveaon S t 2600 Stagecoach Road 583 E.LlndoAwnue <br /> Sento Paula,U91060 TEL 2 9 4 95215 TEL CA69928 TEL S51N)34b473 <br /> TEL:805W5-2000 TEL:2099420182 TEL'530/3435817 atoMla:559r137.23BB <br /> FA NELAP26<t]2 FA ELAP O2 fti FAX:5301343.'180] FAX 5591734-8435 <br /> C:A NELAP C%rtmcatlon No.On1CCA CA ELAP Cemfl®tbn No 1563 CA ELAP CeNficatbn No.2870 <br />