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dzak CHAIN OF CUSTODY <br /> �# ENVIRONMENTAL 4ND.4AIAL YSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 405�525 <br /> Client: Live Oak GeoEnvironmental <br /> Customer Number: 3016608 <br /> Address: 407 W. Oak St. <br /> Lodi, CA 96240 <br /> Phone: (209)369-0375 Fax- <br /> Email Address: abby@logelodi.com <br /> Contact Person: Abby Racco o 2 <br /> Project Name:Glassfab, 8690 W. Linne Rd.,Tracy,CA >I _ <br /> Purchase Order Number: ¢ c i U <br /> x <br /> p v <br /> Quote Number. n � 0 1 9 x <br /> �T.. �a 7i �_1 S O F:- <br /> Sumpleds): n ) <br /> NCni• <br /> -tv- <br /> CL <br /> Z <br /> soo <br /> Sampling Fee: _----_--__-_ Pickup Fee: - LP <br /> Compositor Setup Date: Time: z E g J <br /> Samp Location Description Date Time <br /> Num I ` Sampled I Sampled M a U-) m m rn a <br /> 0 Travel Blank IZ/(I/ZO 11;4 1 G 2 G X <br /> 1 Industrial Well rZ��liO I1: ; G 3 'P/G- <br /> P DW SRC O X X <br /> . SHN, <br /> . . . . . . . . . . . <br /> Remarks Relinquished Date: Time: wished ale: Time: Reli quished ` Date: Time: <br /> 1 Z/ice/Zp 1 :ti �'2�;/2420 �'Z0� 1 I, Mo <br /> 7 Day RUSK /' <br /> Rec pate: Time: Received By: Date: Time: R eked[3y: Date: Time: <br /> c <br /> t - �%w /350 / v /7� <br /> Corporate Offices 8 Lab., Office&Laboratory Office&Laboratory old Office <br /> 853 Corporation gay"ee( 2500 Stagecoach Road 563 E.Undo Avenue Visalia,California <br /> Santa Paula,CAB8060 Stockton,CA 95215 Chico,CA 95926 /�ZTEL:559!734-9473 <br /> TEL:8051392.2000 TEL:209!942-0182 TEL.530/343-5818 Mobile:559!737.2399 <br /> FAX:805/525-4172 FAX:209/942-0423 FAX:530/343-3807 FAX:559/734-8435 <br /> CA NELAP Cortification No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />