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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2o3C <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: '3016605 <br /> .4j .— <br /> t" :, - <br /> Address: 407 W.Oak St. <br /> 1 <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abbyQlogelodi.com <br /> Contact Person: Abby Racco .�o <br /> Project Name: Rainwater,407 W. Oak St., Lodi �) U <br /> Purchase Order Number: 8 <br /> c? y «cSSS <br /> Quote Number: o e O x <br /> n m <br /> Samplcr(s): o z <br /> I <br /> z <br /> Sampling Fee: Pickup Fee: b h rn F a d <br /> Compositor Setup Date: Time: Z <br /> — — 0 8 to <br /> ttl N <br /> Samp Location Description Date Tim,c , <br /> Num I ( Sampled I Sampled v3 X $ rB rn a 3 <br /> 1 Rainwater 3-16-7v: /o.op G 1 P x <br /> F <br /> Remarks Reli uish Date: Time: Relinqu'hed Date: Time: R inqu' cd Date: Time: <br /> 7Day RUSH <br /> Receive By: Date: Time: Received By: le: Time: y: T,ime- <br /> ,W& <br /> 310 70 )qZa 3 io5)6-D <br /> Corporate Offices 8.Laboratory Offict&LaboratoryOttice 8 Lbolatcry tl Field Office <br /> 853 Corporation Stmol 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734-9473 <br /> TEL:8051392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:559/737-2399 <br /> FAX:805/525-4172 FAX:209/942.0423 FAX:530/343-3807 FAX:559834-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />