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ENVIRONMENTAL CHAIN OF CUSTODY
<br /> AND ANALYSIS REQUEST DOCUMENT
<br /> La Number: TEST DESCRIPTION AND ANALYSES REQUESTED
<br /> iclienc Live Oak GeoEnvironmental t
<br /> lCustomer Number. 3016608
<br /> Address: 407 W.Oak St.
<br /> Lodi,CA 95240 g ( [ )
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<br /> Phone: (209)369-0375 Fax: (209)369-0377
<br /> Email Address: abby®logetodi.com
<br /> ;Contact Person: Abby RaccO ( t
<br /> Project Name: Bridge Worship Center,11757 N.Davis Rd.,Lodi
<br /> Purchase Order Number. g
<br /> 'Quote Number. j $ 1 i
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<br /> Sampler(s): Jessen Welch
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<br /> Remark elinquished D Se r. hed te: Time: Relinquished Date: Time:
<br /> 7 day RUSH ,�y��' , ��y�� �7�
<br /> ecety ate: Time: R ived By: Time: Rec y Da Time:
<br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Flold ffico
<br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Asa ,Cttiifomin
<br /> Santa Paula.CA 93060 Stockton,CA 95215 Chloe,CA 95926 TEL.559/734.9473
<br /> TEL:805/392-2000 TEL:2091942-0182 TEL:530/343-5818 Mobile:559!737-2399
<br /> FAX:8051525-4172 FAX:2091942-0423 FAX:530/343.3807 FAX:5591734-8435
<br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certlficatlon No.2670
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