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CHAIN OF C USTOD Y <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> ber: <br /> TEST DESCRIPTION AND ANALYSES REQUESTED <br /> creat: Live Oak GeoEnvironmental <br /> Customer Number: 3016698 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 I <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.eom <br /> Contact Person: Abby Racco <br /> Project Name: Nihad, 6599 E. Foppiano Ln.,Stockton 11 <br /> Purchase Order Number: ¢ s�2 x <br /> ra o € 0 3 e, <br /> Quote Number: n u �- 6 � � = � <br /> Sumpler(s): _ v �, 3 - 9 :"R 4Z <br /> Sampling Fee: ----- Pickup Fee: i I d % .^ * to S F <br /> Compositor Setup Date Time: h z & i a <br /> __. Qct: <br /> Samp Location Description Date Time t <br /> Nuin Sampled I Sampled 2 r a in r . 69 eX a rn _°; a <br /> 0 Travel Blank ` . 5S G 2 G X <br /> 1 Domestic Well G 3 P/G P :DW SRC O X X <br /> , <br /> , <br /> �, tJ <br /> Remarks R: uishcd Date: Time: Rclin uisIt D tc: Time: Relinquished Date: Time: <br /> 7 Day RUSH 11 <br /> Received By: Dace: Time: Rcecited ily: Dat : Time: cd By: Da •: Time: II <br /> l+ i3 ig 133n l� 1318 o l� 1� « (� 1 <br /> Corporate Offices&Laboratory O &StaLaboratory Office 8 L or tory Ft)ld ffice <br /> 653 Corporation Street 2 9ecoech Road 563 E.Undo Avenue Visalia,Califomia <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:6591734.9473 <br /> TEL:805/392-2000 TEL:2091942-0182 TEL:530/343-5818 Mobile:559/737-2399 <br /> FAX:8051525-4172 FAX:2091942.0423 FAX:5301343-3807 FAX:5591734.8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Cartlficatlon No.2670 <br />