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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> 20� bgr: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental "✓�' '!, <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. RUSH <br /> Lodi,CA 96240 <br /> Phone: (209)369-0375 Fax: ' <br /> Email Address: abby@logelodi.eom <br /> Contact Person: Abby Raceo 4t <br /> Project Name:Murray Trailers, 1754 S. Mariposa,Stockton <br /> Purchase Order Number: <br /> Quote Number: e p g _ <br /> G. m i5 p m <br /> Sampler(s): 9 N <br /> w rn <br /> (.yrs -it,¢v N <br /> cc <br /> 8 _ <br /> z <br /> z <br /> Sampling Fee: _ Pickup Fee: t g— �—' y a _ <br /> Compositor Setup Date: Time: c3 a <br /> 8 s � % t <br /> Samp Location Deription Date Time <br /> Num Sampled xSampled Sampled M z r a v'i r m J <br /> 0 Travel Blank &11-7-o lo-.IT G 2 G X <br /> 1 Domestic Well &-0-10 d:IC G 3 P/G P DW SRC O X X <br /> RU%O <br /> Rem_aVks n�� Relinquished�, Date: Time: Relinquished cd <br /> Date: Time: R inqui Date: Time: <br /> /v'/�(`l^,(,7 n /60 <br /> ary F�` d"St k-11-2-t) tU:37 c 11 w J�� <br /> Received By: Date: Time: Recei d By: te: Time: ved D c: (� T'{ <br /> Corporate Offices t Laboratory Mot <br /> t boratory Office t Laboratory Field Office <br /> 853 Corporation Street 2500 lagecoach Road 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 M0110:5591737.2399 <br /> FAX:805/525-4172 FAX:2091942.0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certt ication No.1563 CA ELAP Certification No.2670 <br />