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CHAIN OF CUSTODY <br /> C,Ow ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak GeoEnvironmental <br /> tautomer Number: 3016608 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.eom 8 i <br /> Contact Pcrson: Abby Racco <br /> I <br /> Project Name:White,31390&31396 S. St. Rt.33,Tracy >I i <br /> 3: L) 'm RU <br /> Purchase Order Number. € $ m p ( I <br /> Quote Number. <br /> Sampler(s): <br /> �.. <br /> 5 gyp' Ig 2 <br /> qi to S-i + t t <br /> of A <br /> Sampling Fee: Pickup For. @ h n C C <br /> z 39 <br /> rn g6 <br /> Compositor Setup Date: Time: I <br /> s 8 gym . N �o <br /> Samp Location Description Date Time E ti t Lt 1 Z <br /> NumI I SamplcJ Sampled z' t int r9i m rn a <br /> 0 Travel Blank q-2-2-0 it 10..0S G 2 G X <br /> 1 Domestic Well +z- w io%vT G 3 ^P/G P DW SRC O X X ! <br /> Remarks :�,�� Rel* y fished Date: Time: Relinquished Dau: Time: Re' uishc Date: Time: <br /> � Weft 7 Dai RUSH �-�-LG // : Z� q 2 <br /> YRecei J By: Date: Time: R eived By: Dale: Time: civ Time: <br /> q WAA 0MJ <br /> Corporate Office Laboratory offs &Laboratory Office&Laboratory a &&. <br /> 853 Corporation Strout 2500 Stagecoach Road 563 E.LlndoAvenuo Visalia,California <br /> Santa Paula,CA93060 Stockton,CA 95215 Chico,CA 95926 TEL:559/734.9473 <br /> TEL:8051392-2000 TEL:209/942.0182 TEL:530!343-5818 Moblle:559/737-2399 <br /> FAX:80515251172 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 />