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IRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />I Lab Number TEST DESCRIPTION AND ANALYSES REQUESTED <br />1315a0'IlP <br />;Client: Live Oak GooEnvironmental <br />f <br />Customer Number: 3016608 <br />Address: 407 W. Oak St. <br />Lodi, CA 96240 <br />Phone: (209) 369-0375 F..: <br />Email Address: abbe lorielodi.com <br />Contact Person: Abby Racco <br />P - <br />Project Name: Vidauri, 13180 N. Jack Tone Rd., Lodi, CA), <br />Purchasc Order Number. 5 p <br />Quote Nuinber. <br />Sampler(s): 4 <br />J <br />0 <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />J <br />U) <br />Somp Location Description Date <br />Time <br />Sampled Sampled i <br />it <br />z <br />Num . ...... ..... <br />G 2 G <br />0 Travel Blank <br />w <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Pauls,' 93060 <br />TEL: 8051392-2000 <br />FAX: 80516254172 <br />CA NELAP Certification No. 01110CA <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209M2-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />Field Office <br />Visalia, California <br />TEL: 559[734-9473 <br />Mobile: 559f737-2399 <br />FAX: 6591734-8435 <br />4 <br />Contact Person: Abby Racco <br />P - <br />Project Name: Vidauri, 13180 N. Jack Tone Rd., Lodi, CA), <br />Purchasc Order Number. 5 p <br />Quote Nuinber. <br />Sampler(s): 4 <br />J <br />0 <br />Sampling Fee: Pickup Fee: <br />Compositor Setup Date: Time: <br />J <br />U) <br />Somp Location Description Date <br />Time <br />Sampled Sampled i <br />it <br />z <br />Num . ...... ..... <br />G 2 G <br />0 Travel Blank <br />w <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Pauls,' 93060 <br />TEL: 8051392-2000 <br />FAX: 80516254172 <br />CA NELAP Certification No. 01110CA <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209M2-0423 <br />CA ELAP Certification No. 1563 <br />Office & Laboratory <br />563 E. Undo Avenue <br />Chico, CA 95926 <br />TEL: 530/343-5818 <br />FAX: 530/343-3807 <br />CA ELAP Certification No. 2670 <br />Field Office <br />Visalia, California <br />TEL: 559[734-9473 <br />Mobile: 559f737-2399 <br />FAX: 6591734-8435 <br />