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CHAIN OF CUSTODY <br /> uiiUl <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Nunber- TEST DESCRIPTION AND ANALYSES REQUESTED <br /> �b312`�Z <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. - <br /> Lodi, CA 96240 <br /> rhnne: (209)369-0375 Fax: <br /> Lmail Address: abby@logelodi.com � <br /> Contact Pcnon: Abby Racco <br /> Project Name:Contreras, 10250 N. Childress Rd. ,I ? <br /> Purchase Order Number: Stockton, CA o € O i M <br /> Quote Number: <br /> o � 6 zE <br /> Samplerts): <br /> `E Z 5 t5 r + I t f r <br /> +S & $ p € I <br /> m <br /> Sampling Fee: Pickup Fee: - o h fi ?s <br /> Compositor Setup Date. Time: lB <br /> t i <br /> a gm in rn a`. if <br /> Samp Location Description Date Time s � = A <br /> Num I ( Sampled I Sampled f z' 'k w►= t!i a3 o <br /> 0 Travel Blank '/ 12•2-t> //'ls G 2 G X 3 <br /> 1 Domestic Well /.4.2 �� /�� G 3 PIG P DW SRC O X X <br /> Remarks Relinquished Date: Time: <br /> q� Relinquish nDateq:�j� Time: linqu' q9, Date: Time: <br /> r_/�Cs(�Gp �'l2-LJ �lil ZZ fOW J <br /> 7 Day RUSH 167 <br /> Received By: Date: Time: Rcc 'ved By: te: Time: ei a By: tc: Time: <br /> vq� I? Z <br /> Corporate Offices 3 Laboratory Office 8:Laboratory of . b'Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue Visalia,California <br /> Santa Paula,CA 93080 Stocktan,CA 95215 Chico,CA 95926 TEL:5591734-9473 <br /> TEL:805!392-2000 TEL:209!942.0182 TEL:530/343.5818 Mobile:5591737-2399 <br /> FAX:8051525-4172 FAX:2091942-0423 FAX:5301343.3807 FAX:559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />