Laserfiche WebLink
CHAIN OF CUSTODY <br /> 'i ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> 2 ab cr: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 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 97 8 <br /> Project Name:Galli, 12601 112650 W. Platti Rd.,Tracy >I ` <br /> '2 <br /> Purchase Order Number: <br /> C7 e s € p ^ <br /> Quote Number: o _ <br /> b Zfi <br /> Samplerfs): v <br /> 39 - V 0- <br /> bb �� � z <br /> yff <br /> ec d r� <br /> Sampling Fee: Pickup Fee: _ <br /> m z Z ° <br /> Compositor Setup Date: Time: y J <br /> Samp Location Description Date Time <br /> Num I I Sampled I Sampled i t in ii °J <br /> 0 Travel Blank 3 /1;/7D 135G 2 G X . <br /> 1 Domestic Well 133-?o /3� 3 P/G P DW SRC O X X <br /> Remarks Relinquished Date: Time: Relinqu'hed Date: Time: elinqu' Q Date: Time: <br /> ftUlHA" � 3-,19-2o 147D 316 �oAa"y <br /> Received Dy: Date: Rccei ed 8Y: ate: Time: xt: <br /> �f ate: Time: <br /> 3 iC ;:;T:;im�: <br /> . 31 2fl h/J <br /> Corporate Offices&Laboratory OHI &Laborsto Office La retory held e <br /> 853 Corporation Street 2 Stagecoach Road 563 E.LindoAvenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA95926 61V TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942.0182 TEL:5301343.5818 Mobile:559/737.2399 <br /> FAX:805/5254172 FAX:209!942-0423 FAX:530/3433807 FAX:559!734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Corldiicabon No.2670 <br />