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CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> .Client: Live Oak GeoEnvironmental <br /> iCustomcr Number: 3016605 <br /> Address: <br /> 407 407 W. Oak St. t f <br /> ! i <br /> s I <br /> Lodi,CA 96240 ` i I I <br /> Phone: (209)369-0375 Fax: <br /> Email Address: abby@logelodi.com <br /> r- g 4 •� <br /> Contact Parson: Abby RaCCo 5 3 l (� <br /> Project Name:Carroll, 12938 N. Paddy Creek, Lodi, CA <br /> Purchase Order Number: {i i¢ L•< W L N € i <br /> e Quote Number. @ i m 6 la <br /> O i r i t i <br /> 'Samplerfs): <br /> 1 <br /> C-L;7 z j r t <br /> Sampling Fee: _— Pickup Fee: <br /> Compositor Setup Date: Time: e i rn <br /> Samp Location Description Date <br /> I Nttm I LSampled I. Sampled z ,r- r'n r r v� <br /> Z <br /> 0 Travel Blank G 2 G X t r <br /> 1 Domestic Well {-�-�1 (0 3v G ; 3 DW bRd O 1 X X <br /> •-. T <br /> Remarks Relin � Date: Time: fished ate: Time: linquishcd Date: Timc. <br /> Zl <br /> 7 Day RUSH <br /> Received By: Date: Time: Received By: Date: Time: h B Dmei Time. <br /> /,V =V <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Flold Oce <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo Avenue Visalia, lifomla <br /> Santa Paula,CA 93060 Stockton,CA95215 Chico,CA 95926 TEL:5591734.9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:5301343.5818 Mobile:5591737.2399 <br /> FAX:805/5254172 FAX:2091942-0423 FAX:5301343.3807 FAX:559f734.8435 <br /> CA NELAP Certirication No.01110CA CA ELAP Certification No.1563 CA ELAP Certification No.2670 <br />