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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> .Client: Live Oak GeoEnvironmental <br /> Customer Numb <br /> cr: 3016605 l s i g i <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 t <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abbyQlogelodi.com ( , <br /> Contact Person: Abby Racco <br /> Project Name:Sargent Equestrian, 15757 E. Sargent Rd., <br /> ?t ' <br /> Purchase Order Number: Lodi, CA <br /> Quote Number: <br /> Sampler(s): <br /> p <br /> RAGC i <br /> O Z <br /> O <br /> Sampling Fee: ._ Pickup Fee: jy N m Z= <br /> ta <br /> Compositor Setup Date: Time: 28 <br /> _ E i —'` J <br /> m <br /> Samp Location Description Date Time AN m rn <br /> }j <br /> Num I I Sampled I Sampled m o 0 <br /> i <br /> 0 Travel Blankd-f q. G 2 G E X _. <br /> q' _ <br /> r <br /> 1 Domestic Well-West 9-/01/1 /33 D r G 3 P/G P DW' SRC O ' X X <br /> ;.,. <br /> 2 Domestic Well-Center 9-/a-/ f� f� G 3 P/G P DW SRC O ; X X <br /> 3 Domestic Well- East q/p-/g: i ebb .._G y 3 -:P/G1 P DW SRC O X X <br /> ' f <br /> • li a <br /> s <br /> t � <br /> l <br /> � f <br /> Remarks Rclittgttis Date: Time: R ' wished a[e: Time: Relinquished Date: Time: <br /> 0"'t 910-19 1500 I 910 �y /dad <br /> 7 Day RUSH <br /> 7: ?/ate: Time: Received By: /ate: Time: Received By: DTime: <br /> is /-'Too 9� 9 ate:/7e <br /> 11 3p_ <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue Visalia,Califomla <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chlco,CA 95926 TEL:559!734.9473 <br /> TEL:805/392-2000 TEL:20 9194 2-01 82 TEL:5301343.5818 Moblle:559/737-2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX:5301343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />