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CHAIN OF CUSTODY <br /> ENVIRONMENTAL <br /> AND ANALYSIS REQUEST DOCUMENT <br /> ��b b r:q. <br /> TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: w <br /> Live Oak GeoEnronmental i ` ° <br /> CLstomer Number. 3016606 <br /> Address: <br /> 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fera: i= a J <br /> Email Address abby@logelodl.com ( S a i e € i <br /> Contact Person: Abby Racoo <br /> project Neme. Stanley, 14629 E. Wildwood, Stockton <br /> Purchase Order Number <br /> m l 0 3 x o i 3 I t <br /> Quote Number <br /> O <br /> Sampler(s): / U I QE ti <br /> C 4 r N R E <br /> J € <br /> � aloo <br /> Sampling Fee Pickup Fee. g I y " T <br /> Compositor Setup Date: Time: E9 a t I J p € y I <br /> Samp a Location Dcscnptu n LL Date Time d E T a F m -..m ro ti °�' a`o a f <br /> f0 i <br /> Num i , Sampled Sampled z <br /> A ? <br /> 0 Travel Blank G 2 G X <br /> 1 Domestic Well = f .S�' G 3 P/G P DW SRC 01 4 X X µ <br /> 3 <br /> Remarks iralbled E Time: emqu etl ate: Time: Re'nquish Data: Time: <br /> grata: iso a <br /> ve y: Data: Time: Received By: �Ie: Time: eiv B . Date Time: <br /> Carpinteria OlHeea&Laboratory OlBce& aboratary Office&Laboratory aid 0 fice <br /> 853 Corporation Street 2500 Stagecoach Road 563 E undo Avenue Vaalia, aii(omia <br /> Santa Paula,CA 93060 Stocldon,CA 95215 Chico,CA 95926 TEL 559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL 530/343-5818 Mobile:5591737-2399 <br /> FAX:805/5251172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br /> is 0 0 <br />