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IT` - ENVIRONMENTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number, TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental j <br /> Customer Number: 3016608 <br /> Addres:: 407 W.Oak St. , <br /> Lodi,CA 96240 <br /> ['he-: Fax:(209)369-0375 t <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby RaCCO < i s`t o a I 4 § <br /> i <br /> Project Name:Delapena,24222 N.Sadlerstone,Aeampo it $ ` <br /> Purchase Order Number. p .U € g Uz, i <br /> Quote Number: a > <br /> SampTeTs�-- <br /> i i t 11 <br /> 3 <br /> � $ o- <br /> Sampling Fee: -. Pickup <br /> Fee: <br /> 46. <br /> Compositor Setup Date: Time: <br /> 44 ,A <br /> > + , <br /> P PQ. <br /> Num Location Description S�tled Sampled z r e lin r m m m ° a I ' <br /> 5 m m lin , <br /> e Time r= <br /> o � ' <br /> J CL i i <br /> , <br /> 0 Travel Blank F-14-701 k:-Lv G 2 G X <br /> 1 Domestic Well Tv 11:20 G 3 P1G P DW SRC O X X <br /> ;._ . <br /> • z <br /> RemarksDate: Time: Re uished Date• Time: Relinquished Date: Time: <br /> - - c Awe V RIZO 12. ' W !2(-.)) <br /> 7 Da - <br /> Received By: Date: Time: ei� By: Ror. <br /> Time: Recci�•cd By: Date: Time: <br /> 1)q� <br /> Corporate Offices&Laboratory Office&Laboratory &Laory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 3 .LlndoAvenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Ch tb,CA 95926 TEL:5591734.9473 <br /> TEL:805!392-2000 TEL:2091942-0182 TEL:5301343-5818 Mobile:5591737-2399 <br /> FAX:8051525.4172 FAX:209!942-0423 FAX:530/343-3807 FAX:5591734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />