Laserfiche WebLink
V <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> / b <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 } <br /> f <br /> Address: 407 W.Oak St. <br /> 4 <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: ( ! s <br /> Email Address: abby@logelodl.com <br /> Contact Person: Abby RaccO <br /> Project Name: Ford Construction, 12505 E. Brandt Rd., n a <br /> df <br /> k <br /> Loceor <br /> Purchase Order Number +CA Qo g x <br /> Quote Number: n o <br /> 6 3 0 <br /> Sampler(s): <br /> E3 z <br /> Sampling Fee: -----____-- PrekupFee: iy m ox z= V <br /> Compositor Setup Date: Time: z `� E <br /> ga <br /> Samp Location Description Date Timem — 'i' <br /> Num I ( Sampled I Sampled z r- n in r m m rn yj <br /> 0 Travel Blank I 1 G J 2 G <br /> 1 4)efflles4tc Well 1z-fo-IF 10. 1 o G 3 iP/G'; P DW SRG O X . X <br /> 1 <br /> 51 4 <br /> • tn�� <br /> 1 ,r <br /> i <br /> Remarks R ' Date: Timc: Relin wished Date: Time: Relinquished Date: Time: <br /> elinhed <br /> 7 Da RUSH 0 10-19 t0 -� x i�od <br /> YRe ' $y: /Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> AAn�t -J <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 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:805/525.4172 FAX:209/942-0423 FAX:530/343-3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />