Laserfiche WebLink
CHAIN OF CUSTODY <br /> www.fglinc.com AND ANALYSIS REQUEST DOCUMENT <br /> Client: Live Oak Geo Environmental b Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Customer Number: 3016608 O <br /> Address: 407 W.Oak Street <br /> Lodi. CA 95240 <br /> Phone: (209)369-0375 Fax: (2091369-0375 <br /> Email Address: welehlodi(rDvahoo.Com " <br /> A <br /> Contact Person: David Welch <br /> Project Name: C1 Z <br /> Purchase Order Number: v til <br /> Quote Number: Lj <br /> Rush Analysis: E15 Day 4 Day❑3 Day E]2 Day 24 hour V a 0 E <br /> Rush pre-approval by lab(ititab): n' <br /> Electronic Date Transfer. No State Ctient Other- <br /> Sampler(s)! • ¢ Y� <br /> �NACCD <br /> n <br /> Sampling Fee: Pickup Fee: <br /> Compositor Setup Date: Tine: <br /> Samp Location Description Date Tune <br /> Num Sampled Sampled <br /> Cn- <br /> amarks Relmqu' ed Date: Relinquished Time: Reled Date: Time: Relin 'hcd Date: Time: <br /> �- -►� 9 .i S �. R , -,,-,� ���b (moo <br /> Received By Date: Time: Receiv D te: Time: Roc ' ed Dy: Dat Tone: <br /> iy y:r� Cj ��, I� Sltc� [10v <br /> Corporate 0"t"s a Laboratory Off10s a Lotwratmy 011109 a ofllss a Laberit" ORbs a Laboratory <br /> 653 Comorstlorr Street 2500 Stageoc ach Road 583 E L.htdo A 3442 Empress Drive.Sults D 9415 W.Goshen Avenue <br /> Santa Parts.CA 93080 Stodtton,CA 95215 Chloo.CA 95 �(dIt! Lute Obispo.CA 93401 Viaetla,CA 93291 <br /> TEL(808)302-2000 TEL:(209)942-0182 TEL:(530) 18 l >lEu(805)783.2940 TEL(559)734-9473 <br /> Env FAX:(605)52!-41721Ag FAX:(806)392-2093 FAX:(209)942 0423 FAX:(530)3433807 2�`l FAX:(805)783-2912 FAX:(559)734-8435 <br /> CA ELAP Certltlen5on No.1573 CA FLAP Can=- .2—No.1563 CA ELAP No. r- "7-'CA ELAP Cartsleation No.2176 CA ELAP CeAt cation No.2810 <br />