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CHAIN OF CUSTODY <br /> V ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> • ����� • <br /> TEST DESCRIPTION r AND ANALYSES REQUESTED <br /> ab b <br /> =Client: Live Oak GeoEnvironmental l t <br /> ICustomer Number: 3016605 <br /> Aaam:: 407 W. Oak St. I <br /> i <br /> Lodi,CA 96240 ! i <br /> ,Phone: (209)369-0375 Fax: 1 <br /> 3 <br /> 'EnailAddress: abby@logelodi.com <br /> Contact Person: Abby RaCCO _' 8 t <br /> Project Name:LaPierre,3231 E.Spiess Rd.,Acampo, CA), g a <br /> Purchase Order Number: <br /> Quote Number d o _ <br /> i5 :0 <br /> Sampler(s): v 3 9IL <br /> v <br /> N o <br /> p �6o ► l <br /> m =� l <br /> Sampling Fee: Pickup Fee: m e y y Z= { <br /> Compositor Setup Date: Time: ca <br /> ca <br /> Sump Location Description Date Time ' x <br /> Num I ( Sampled Sampled <br /> I <br /> 0 Travel Blank (p•IS•Iq ' w ,4-V G 2 .:.GX . _ -- <br /> 1 Domestic Well -18. 9 1!''}� ? G 3 PIG P DW: SRC O X X <br /> i <br /> I <br /> 3 <br /> i � # r <br /> • <br /> Remarks Fw Relinquished Date:l Time: Relinquished Date: Time: Relinquished Date: Time: <br /> �l P'�_ q< � )Lr CiQ <br /> DayD <br /> Received By: Dali, Time: Received By: Date: Time: Received By: Date: Time- <br /> 21 Pj <br /> 1240 ANW. u(m <br /> Corporate Offices 6 Laboratory Offic.4 LaboratoryOffice 6 Laboratory Field Office <br /> 853 Corporation Street 2500 Slagecoach Rcbd 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chloo,CA 95926 TEL:5591734-9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAX:805/5254172 FAX:2091942-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA EIRP Cerlification No.2670 <br />