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CHAIN OF CUSTODY <br /> ex �a ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> � L�Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental I <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: N <br /> Email Address: abby@logelodi.com 2 <br /> Contact Person: Abby Racco 8 <br /> Project Name:Winters, 6819 E. Lathrop Rd., Manteca, CA?, [ <br /> Purchase Order Number. <br /> Quote Number. <br /> Sampler(s): ri <br /> lies z � g <br /> Sampling Fee: Pickup Fee: lq <br /> Z •� J h <br /> Compositor Setup Date: Time {{{ m <br /> Samp Location Description Date Time tl <br /> Num I P I Sampled ! Sampled z <br /> 0 Travel Blank G -14.15 /c:iv � .G 2 G X . <br /> 1 Irrigation Well 6 !�/y /e: G 3 P/G P DW SRC O X X <br /> t <br /> . def . <br /> Remarks ""b. Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 7 Day RUS t,U <br /> Received By: )ate: Time: Recei ed By: Da Time: Recciv By: Date: Time: <br /> C Z4 1231 4 /w 41 5//f <br /> Corporate Offices&Laboratory OM24&bs6oratory Office& bo ory Field Office <br /> 853 Corporation Street 250016tailecDach Road 563 E.Lando Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:8051'392-2000 TEL:209/942.0162 TEL:5301343.5818 Mobile:559!737-2399 <br /> FAX:805/5254172 FAX:2091942-0423 FAX:5301343-3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01 HOCA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />