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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab/Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> t � 3 ,T' <br /> Client: Live Oak GeoEnvironmental3 •�� I I -� 1 � 1 <br /> Customer Number <br /> 3016608 <br /> Address: <br /> 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> ;Email Address: abby@logelodi.com <br /> Contact Person: Abby Racco <br /> Project Name: Kusalakari,9698 S. Priest Rd <br /> French Camp CA CA <br /> Purchase Order Number: F <br /> Quote Number: <br /> 0 <br /> sampler(s): �g <br /> L <br /> 0 <br /> Sampling Fee: Pickup Fee: 2 : <br /> L <br /> z <br /> Compositor Setup Date: Time: <br /> J <br /> - <br /> Samp Location Description Date <br /> d <br /> Sampled z cl U)! <br /> r <br /> 0 Travel Blank G 2 G x <br /> Domestic Well X/5r]'--G IDW SRC 0 x x <br /> P/G P <br /> ----------- <br /> y - - � , ,, <br /> \'iw o <br /> Remarks Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> JPS g/2 <br /> q /_I-- '12 <br /> 11q 1-7o:'6 Cir <br /> I Nu <br /> 7 Day RUSH I <br /> R vedB Date: Time: Received By: Date* Tim Received By: D. Time: <br /> 80/11 <br /> / ' <br /> slAln 1-;3 5 0/11 1-700 10-AtOU) <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory ileld Ifi4ce <br /> 853 Corporation Street 2500 StageoDach Road 563 E.Undo Avenue <br /> Visalia California <br /> Santa Paula CA 93060 Stockton,CA 95215 loo.CA 95926 TEL:5ii9,734-9473 <br /> Cb( <br /> TEL:8O5r3gi-2000 TEL:209M42-0182 TEL:5301343-5818 Mobile:559f737-2399 <br /> FAX:805/525,4172 FAX:20911142-0423 FAX:530r343-3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />