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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> b upi4e TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Live Oak GeoEnvironmental <br /> CUSICTIMICT Number: 3016608 <br /> 'Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 F..: <br /> Email Address: abby(Plogelodi.com <br /> Contact Person: Abby Racco Pt <br /> Project Name:Coldani, APN 055-140-23,Thornton Rd., it <br /> PurchaseOrder Number. Lodi,CA <br /> Quote Number: o 0 <br /> a. <br /> F5 <br /> Samplerts): <br /> z <br /> -0 <br /> Sampling Fee: pickup Fee; .:—Fo 0Zr <br /> U) <br /> Compositor Setup Date: Time: <br /> rA <br /> 0 ..A <br /> Num 7 <br /> Date Time E n 10 R <br /> Sampled Sampled 1 :9 2 92 <br /> sampl Location Description <br /> 0 Travel Blank G 2 G <br /> x <br /> 1 Domestic Well 1-3ii-A'A 3) G 3 P/G. P :DW SRC 0 x <br /> c. -4. <br /> Remarks Relinquished V Date; Time: RelinqT Date: Time: Relinquished Date Time: <br /> ,o�61 4C !--3-11 1- 5b whr) I I a (�&D 1122, 1 C4 /() <br /> 7 Day RUSH Racei By Date: Time: Da Time: \ Received By; te: Time: <br /> K <br /> RZ B ft1l /ICU 0 ` <br /> L/ <br /> Corporate Offices&Laboratory OMce&Laboratory OMee d Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Read 563 E.Undo 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:5301343-5818 Mobile:559/737-2399 <br /> FAX:805/525-4172 FAX:20919,42-0423 FAX:530r343-3807 FAX.559f734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP CerIffication No.2670 <br />