Laserfiche WebLink
ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2O3 <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016605 ^t r- "7 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Email Addess: abbyQlogelodi.com <br /> Contac Person: Abby RaCCO � <br /> pmject Name: Rainwater,407 W. Oak St., Lodi n R <br /> Purchase Order Number: g = <br /> Quote Number: n e Pt <br /> � O� �o � � W� <br /> Y <br /> Samplcr(s): $ ; m <br /> co <br /> 9 3 E. a 11 <br /> Sampling poli: Pickup Fee: 3 s ^ F z= <br /> Com ositor Setu Uate: _ Time: �e Z E — <br /> p p --- a <br /> Samp Location Description Date Time {; t3 <br /> Num I ( Sampled Sampled 22 z' t a r 8 eS rB lin o <br /> 1 Rainwater 3-)L 2v /o• ari G 1 P X <br /> ,: <br /> Remarks Reli uish Date: Time: Relinqu'hed Date: Time: R inqu' cd Date: Time: <br /> ire �-1LI-�0 I L+ 3I� � <br /> 7 Day RUSH <br /> Rcccive By: Date: Time: Received By: D te: Time: y: D te: Time: <br /> 3 I� 1 yZa 3 �G - 11)0 <br /> -D 1�61 <br /> Corporate Offices d Laboratory Offict&LaboratoryOfFlce 8 bo story Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Linde Avenue Visalia,California <br /> Santa Paula.CA 93080 Stockton,CA 95215 Chioo,CA 95926, TEL:559/734-9473 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:530f343-5818 Mobile:5591737-2399 <br /> FAX:805/525-4172 FAX:2091942-0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.0111OCA CA ELAP Cerlifcaton No,1563 CA ELAP Certification No.2670 <br />