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61"11 <br /> ENVIRONMENTAL AND <br /> OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 2( �yD�-� <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W.Oak St. <br /> Lodi, CA 96240 <br /> Ph--c: (209)369-0375 Fax: <br /> Lmail Address: abby@logelodi.eom <br /> Contact person: Abby Raceo ;�o <br /> Pmject Name:Holguin,9100 N.Jonathan Ct., Stockton n <br /> 9 g 3 a 0 `A <br /> Purchase Order Number a0 g iE >g <br /> Quote Number. a > oa g 8 = <br /> 9 0 <br /> U <br /> Sampleds): <br /> l, j <br /> 11 9 <br /> Zo <br /> 8 _ <br /> .1 L09 <br /> 5 K_ 44 R 0 a zz M <br /> Sampling Fee: ckup ibc: n _ t' <br /> Compositor Setup Date: __ Time: Z E d <br /> s o a to o M <br /> Samp Location Description Date Time ti m , g Q <br /> Num I I Sampled I Sampled :1z t a m r rR m rn a <br /> 0 Travel Blank to-2 to 9 rs G 2 G X <br /> 1 Domestic Well 10-2-Z u 4- SS G 3 P/G P DW SRC O X X <br /> Remark Relinquished Date: Time: Reli i d Date: Time: Relinquished Date: Time: <br /> �,l,i e►'l i`' Q,r p, y",, to/z/lo ► �2 p ?,(� SOD S I hbb,� IMV <br /> 7 Day RUSH <br /> Received By: Date: Time: Rec 'v By: Date: Time: Received By: bate! Time: <br /> -•� ►o 325 (0l�OD V (,01' ,o <br /> Corporate Offices&Laboratory OffiZA&Laboratory Office&La tory Fleld Office <br /> 653 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Vmslia,California <br /> Santa Paula,CA 93080 Stockton,CA 95215 Chico,CA 95926 TEL:55917 34-94 7 3 <br /> TEL:805/392-2000 TEL:209/942-0182 TEL:5307343-5818 Moble:559!737-2399 <br /> FAX:805/5251172 FAX 209/942-0423 FAX:530/343-3807 FAX:55917 34-84 35 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />