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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Numbcr: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Z'�3 ►a�l <br /> Client: Live Oak GeoEnvironmental <br /> C"tomer Number: 3016608 <br /> AddfeS 407 W. Oak St. <br /> Lodi,CA 96240 <br /> Phonc: (209)369-0375 Fax: <br /> ,mail Address: abby@logelodi.com - <br /> �.: <br /> Contact Pcnon: Abby RaccO <br /> m ,�r <br /> Project Name:Lopes, 16520 Von Sosten Rd.,Tracy,CA <br /> Purchase Order Number: <br /> Quote Numlxr: � o B <br /> a ,tea 6 o- <br /> ff z� <br /> Samplerts): /� �f v 3 v <br /> /t =g <br /> I <br /> Sampling Fee: _---------_.__... Pickup Fee: nN m z z= <br /> Compositor Setup Date: Time: <br /> o _ rg� ro <br /> .� a pl m rn � th a, <br /> Sam Location Description Date rime _ 0 7 `�' {� g ? A <br /> Num I p I Sampled Sampled z r a rn m rn a? <br /> 0 Travel Blank 1-440 110:30 G 2 G X <br /> 1 Domestic Well 10:30 G 3 P/G P DW SRC O X X . . <br /> r : <br /> Remarks Rclin 'shed Date: Time: Rcl d D e: Time: Rcli ed Date: Time: <br /> 6 <br /> VZO <br /> /-IV 6 ,'-�Fp <br /> 7 Day RUSH Receival By: D Time: Received Fay: a Date: Time: eived y Data Time: <br /> 10 yj " 11'12'ao (-, 01-7 <br /> Corporate Offices 8 Laboratory Office&Laboratory Office 6 Laboratory leld Mce <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue isali ,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:5301343-5818 Mobile:559/737-2399 <br /> FAX:60515254172 FAX:2091942-0423 FAX:5301343-3807 FAX:5591734.8435 <br /> CA NEL.AP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />