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AMIN CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> ab I�j TEST DESCRIPTION AND ANALYSES REQUESTED <br /> client: Live Oak GeoEnvironmental <br /> *CustomerNumber: 3016608 <br /> 'Address: 407 W. Oak St. z3 <br /> w <br /> Lodi,CA 96240 t i <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.eom p <br /> � r <br /> Contact person: Abby Racco <br /> Project Name:LaPierre,3231 E.Spiess Rd.,Acampo, CA), <br /> 3 I <br /> Purchase Order Number. ' g & x <br /> Quote Number: n O <br /> g I <br /> NSamplcr(s): <br /> CD , o- E <br /> Sampling Fee: Pickup Fee: N y Z= i <br /> Compositor Setup Date: Time <br /> 6 I i I j <br /> bin ! t <br /> 4 <br /> ------- <br /> Sump Location Description Date Time x <br /> Num I I Sampled f Sampled <br /> 0 Travel Blank (p•18•i 9 ' )J-4S-; G 2 G X _ <br /> r _ _ ;. <br /> 1 Domestic Well (� 18 /9 F ?!�'�� G 3 P/G P f'Dwl SRC O X X <br /> r <br /> 1K <br /> l " <br /> _ . • _ <br /> . . . . . . . . . . . . <br /> Remarks Relinquished Date: Tim c: Relinquished Date: Time: Relinquished Date: Time: <br /> Zf1 12� <br /> Day WUH Received By: Da : Time: Received By: Date: Time: Received By: Date: Time: <br /> Al j a] g, 1240 t,, <br /> Corporate Offices 8 Laboratory Office LaboratoryOffice 6 Laboratory Field Office <br /> 853 Corporation Street 2500S <br /> gecoach Robd 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559(734-9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:80515254172 FAX:2091942-0423 FAX:530/343.3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />