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ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 203 �� <br /> r <br /> t <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number. 3016605 <br /> Address: 407 W. Oak St. <br /> i . <br /> Lodi, CA 96240 _ <br /> Phone: (209)369-0375 Fax: i <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby Raceo <br /> Project Name: Rainwater,407 W. Oak St., Lodi 11 U <br /> Purchase Order Number: ¢ £ x <br /> c? a g v <br /> Quote Number: a o p) <br /> n � 6 0. <br /> m <br /> : <br /> SampIcr(s) c? Z <br /> NZ <br /> �tbb (Zac lire E <br /> -2 d <br /> m <br /> Pickup Fee: �o <br /> Sampling Fee: g , <br /> Compositor Setup Date. Time: & Z <br /> _ $ C Um lv_ <br /> Samp Location Description Date Time ti {j <br /> Num Sampled! Sampled I Sampled z' r d' r r9, rB W o <br /> 1 Rainwater 3-1 L-2v /o•.cro G 1 P X <br /> Remarks Rch uishcd Date: Time: Relinqui I Date: Time: R inqu" cd Date: Time: <br /> �` UA�F.f'1� ✓�v.P.>;� �It� u��il.t� <br /> 7 Day RUSH <br /> Receive By: Date: Time: Received By: te: Time: y: D te: Time: <br /> 'W& -A,9170 5 <br /> )�7 1�61 <br /> Corporate Offices&Laboratory Offict&LaboratoryOffice 8 abo story Fiala Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926. TEL:5591734-9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:805/525.4172 FAX:209/942-0423 FAX:530!343-3807 FAX:559!734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />