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CHAIN OF CUSTODY <br /> z ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> l 3 8; TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. S <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: t t <br /> Email Address: abby@logelodi.eom f. <br /> Contact Person: Abby RaccD <br /> Project Name: Nihad, 6599 E. Foppiano Ln., Stockton <br /> 3 <br /> Purchase Order Number. <br /> Quote Number. <br /> c ye $g 3 <br /> ii A b O I C. <br /> Sampler(s): 3 9 f H <br /> SamplingF": – —–--- PickupFee: s z `�— y ?i <br /> Compositor Setup Date: - - _ Time: y Y _ i q <br /> - .__._.. ...... ... .. ... _. .......-. .s iA N t <br /> � ci <br /> Samp Location Description ` Date Time z t tj <br /> Num I Sampled Sampled z t– a rn t–. a`�w o.'? <br /> 0 Travel Blank �' •SSG 2 G X <br /> 1 Domestic Well :$� G 3 P/G P „DW SRC O X X <br /> Remarks Reli wished Date: Time: Relin wished D�i tc: Time: Relinquished Date: Time: <br /> nm7 Day RUSH 0 I1-13'I �r ���° < t! rskj <br /> Received By: D : Time: Receited By: Dat Time: Ar&ilited By: Da •: Timc: <br /> I� i3 ►S 133 l� 13 lg a N11 <br /> Corporate Offices&Laboratory O 8 laboratory Office& or tory Field Nitro <br /> 853 Corporation Street 2 Stagecoach Road 563 E.Undo 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:5591737-2399 <br /> FAX:8051525.4172 FAX:209/942.0423 FAX:5301343-3807 FAX:55W734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Corttficatlon No.2670 <br />