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ENVIRONMENTAL AND <br /> Off' CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Numbex: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak Geo Environmental <br /> Customer Number. 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phonc: (209)369-0375 Fax: <br /> LinailAddress: abby@logelodi.com <br /> Contact Person: Abby Racco 0 8 <br /> Project Name:Jimenez, 124 W. Briggs, Lathrop, CA 11 g U <br /> Purchase Order Number: ¢ FEg = <br /> Quote Number: < E p & <br /> a 3 � =b <br /> n. ego O O Qa <br /> Sampler(.): 0 y d E Z ; <br /> a. �M <br /> Sampling Fcc: Pickup Fec: °� y po `�— N ° z_ <br /> c t6 <br /> Compositor Setup Date: -- Time: Z � � 3� rn � 'd � V <br /> v _ <br /> 8 <br /> Samp Location Description Date Time E £r A <br /> Num' Sampled , Sampled z t o- U> C% u> a <br /> 0 Travel Blank 4-LZ yD g-3a G 2 G X <br /> 1 Domestic Well q:3 D G 3 P/G P DW SRC O X X RUSP <br /> . . . . .. . . . . . <br /> Remarks Rclin ishcd Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> 7 Day RUSH '� 7,7-2,0 12- <br /> ., <br /> Received By: Date: Time: Received By: Date: Time: keccived By: Date: Time: <br /> 29:: Wulwo I I'l ja�� <br /> Corporate Offices&Laboratory Office lK Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.LlndoAvenuo Visalia,California <br /> Santa Paula,CA 93060 Stockton.CA 95215 Chico,CA 95926 TEL:559?34-9473 <br /> TEL:805/392-2000 TEL:2091942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:805/5254172 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 />