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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> (Lab Nuumjbber�:� TEST DESCRIPTION AND ANALYSES REQUESTED <br /> _ 1 1 V�`� <br /> Client: Live Oak GeoEnvironmental ; <br /> 40olumaNumber: 3016606 ` <br /> Address: 407 W Oak St. i= wE f <br /> Lodi,CA 96240 t <br /> 1 5 <br /> Phone: (209)369-0375 Fax: <br /> { <br /> Email Address: abby@logelodi.corn <br /> Contact Person: Abby Raeco s�o <br /> Project Name:Sandhu, 1660 Edna Ct.,Tracy, CA <br /> m = i <br /> Purchase Order Number. <br /> Quote Number. <br /> c5 6 z E <br /> Sampleds):_ QUA^ <br /> to <br /> Sampling Fee: Pickup Fee: s <br /> Compositor Setup Date' Time: z (� t <br /> i <br /> Samp Location Description Date Time p :g `' i A Z <br /> NumI ._ I Sampled I Sampled z r a 'r'n r r9, eg m •' i __ <br /> _. i <br /> 0 Travel Blank 1j +-+g 1 //:os G 2 G x .._ .. <br /> ..• - ... .. .. .___ •._—_.. _ .�. • __...• •. __..• • - I i r <br /> I <br /> 1 Domestic Well G 3 P/G1 P DW; SRC O X X <br /> ....._..__.,.... _.,. _ .. ...... ... . ,,._._...._. . v .i. ........... .. . <br /> i <br /> 1 <br /> ! e <br /> , <br /> 9 t <br /> �•t <br /> I. . <br /> f <br /> 1 <br /> . . . . . . . <br /> • . <br /> Remarks Relinquished Date: Time: Rel' fished ate' Time: Relinquished Date: Time: <br /> 7 Da RUSH <br /> Y Ree 'v By: Dat : Time: Received By: Time: Re ivied By: Dale: Ti�/(C) <br /> e: <br /> Z I <br /> 6GLI � o <br /> Corporate Offices 8 Laboratoryfn &Laboratory Office&Labora ory Field Office <br /> 853 Corporation Street 2501 tagecoach Road 563 E.Llndo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,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:805/525-4172 FAX:209/942-D423 FAX:530/343.3807 FAX:559[734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certlficadon No.1563 CA ELAP Certification No.2670 <br />