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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> L*bNT4pl J TEST DESCRIPTION AND ANALYSES REQUESTED <br /> iClient: Live Oak GeoEnvironmental <br /> 3016608 <br /> 1AMress: <br /> 407 W.Oak St. <br /> Lodi,CA 96240 <br /> (209)369-0375 Fit.: <br /> Email Address: abby@logetodi.com s <br /> Contact Person: Abby Racco <br /> ilp <br /> Project Name:Coldani, APN 055-140-23,Thornton Rd., <br /> a. <br /> Purchase Order Number. Lodi,CA <br /> Quote Number. o 0 <br /> WI <br /> hex@1-j �E <br /> srt— <br /> Sampling Fee: Pickup Fee: ti pp- <br /> Compositor Setup Date: Time: y <br /> i <br /> soap Location Description DIN r. <br /> S'l"PIW <br /> � ► <br /> N= z A.- GF)I.- <br /> S811m1" <br /> ........... <br /> 0 Travel Blank 2 G <br /> I Domestic Well S--IT G 3 'P/GI P DW SRO 0 <br /> 71-f <br /> SiSiST <br /> Remarks Relinquished Date: Ti R h Date: Time: Relinquished Date, Time: <br /> C�— <br /> 7 Day RUSH 7 1-3-11 .g- 6D _ap 10 10&S <br /> R= Date: Ti Recei H Date: lime: <br /> Received By: Time: <br /> I i a9 155 I`1 jld W�/�i '�I S Ivy' I <br /> Corporate Offices&Laboratory Office&Laboratory Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.LindoAvenue viaalia,California <br /> Santa Paula.CA 93060 Stockton,CA 95216 Chloo,CA 95926 TEL 550R34-9473 <br /> TEL:8051392-2000 TEL:209t942-0182 TEL:5301343-5818 Mobile:559/737-2399 <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 />