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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> _ u _ - Z, Z i <br /> .client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 r t I <br /> Addrrss: 407 W. Oak St. <br /> I ( 2 <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: 1 ; i I I I l <br /> Email Address: abby@logelodi.com is f I i <br /> Contact Person: Abby Racco E 8 ' I <br /> Project Name:Bridge Worship Center, 11757 N. Davis Rd?, <br /> Purchase Order Number. Acampo,CA cL. <br /> Quote Number: t > O ( $ =S r <br /> Sampler(s): Li <br /> .0 <br /> Sampling Fee: —_-- — Pickup Fcc. p � m to i x Q d I <br /> - z ,rF fn <br /> E <br /> Compositor Setup Date: _ Time: to ii id t i <br /> - - <br /> Sump Location Description Date Time ( A <br /> I _ -- — <br /> Nam p ( Sampled I Sampled .� z a r'n rR aB rn <br /> :I <br /> l <br /> p Travel Blank +16-I9 12'µs G 2 : G € X i <br /> 1 Domestic Well <br /> sF-Ib-19 ;IZ=+�S G 3 P/G} P -DW' SRC O X X. <br /> i r. t <br /> r - — - <br /> t <br /> x <br /> - <br /> I <br /> it <br /> Remarks Re1in ished� Date: Time: Relinquished Dat : Time: Relinquished Date: Time: <br /> `�-icy-15 133 0 i " d <br /> 7 Day RUSH <br /> Received By: D- Time: Rec ived Ry: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Oft1 &Laboratory AOffice& ho tory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,Califomla <br /> Santa Paula,CA93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:2091942-0182 TEL:5301343.5818 Mobile:5591737-2399 <br /> FAX:805/5254172 FAX:209/942-0423 FAX:5301343.3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />