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- CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUESTDOCUMENT <br /> La�!>} er:� TEST DESCRIPTION AND ANALYSES REQUESTED <br /> Client: Live Oak Geo Environmental <br /> (!�J/J,l�(+� <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax: <br /> Grail Address: abby@logelodi.eom <br /> Contact Person: Abby Racco ~ 't_ 8 <br /> Project Name:Kahlon, 21799 S.Corral Hollow,Tracy, CA), <br /> Purchase Order Number: ¢ g = <br /> Quote Number. o O a = <br /> O 12 FZ <br /> m <br /> E <br /> lis c, `, <br /> p d y t1 Qo 0 USHA <br /> Sampling Fcc; Pickup Fee: g jg o n ff i ! ?_ <br /> Compositor Setup Date: Time: z To" E4% <br /> U)i of <br /> V p <br /> Samp Location Description Date Time t N b A <br /> Num I Sampled I Sampled <br /> 0 Travel Blank /0-$-2z 10;50 G 2 G X <br /> . . . . <br /> 1 Domestic Well 10-8-20 !0=3D G 3 P/G P DW SRC O X X <br /> Remarks Relinquished Date: Time: Relinquished D e: Time: R t u'hed Date: Time. <br /> 7 Day RUSH ��� ` io��w �2:v, f� 17D�b <br /> Received By: Dat : Time: Ree ' d 11y: ate: Time: ec ,cd D : Dn : Time: <br /> � 0 lin <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field bffl.o <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,Califomia <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL:559f734-9473 <br /> TEL:8051392-2000 TEL:2097942-0182 TEL:5 30134 3-581 8 Mobile:5591737-2399 <br /> FAX 8051525-4172 FAX:209/942-0423 FAX:5301343.3807 FAX:5597734-8435 <br /> CA NELAP Certification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />