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www.fglinc.com <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br />Client: Live Oak Geo Environmental <br />Lab Number: <br />Office & Laboratory <br />TEST DESCRIPTION <br />AND ANALYSES REQUESTED <br />853 Corporation Street <br />Customer Number: 3016608 <br />563 E. Undo Avenue <br />3442 Emprese Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Address: 407 W. Oak Street <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />TEL: (805)392-2000 <br />TEL: (209)942-0182 <br />TEL: (530)343-5818 <br />TEL: (805)783-2940 <br />TEL: (559)7349473 <br />` Env FAX: (805)525-4172 /Ag FAX: (805)392-2063 <br />FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />FAX: (805)783-2912 <br />FAX: (659)7348436 <br />CA ELAP Certification No.1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2776 <br />CA ELAP Cert icatton No. 2810 <br />Lodi. CA 95240 <br />Phone: (209)369-0375 Fax: (209)369-0375 <br />m <br />Em ad Address: Gbbyp60c� <br />Contact Person: Pa <br />t,60 <br />'` k66k66c� <br />Project Name:5G Sl�Itr1 S`��0 �"Q� rv` <br />13 <br />Purchase Order Number: S <br />Quote Number' <br />o <br />is`_' <br />s <br />Z <br />O <br />! <br />`' <br />EFt <br />5161 <br />Rush Analysis:Ej 5 Day ❑ 4 Day ❑ 3 Day ❑ 2 Day 24 hour <br />Rush pre -approval by lab (uruals): <br />a <br />7 <br />Electronic Data Transfer: F-1 No ❑ State Client Other: <br />m <br />aC. <br />to <br />X <br />€ <br />m <br />Sampler(s): r� 0.L(D <br />a <br />Sampling Fee: Pickup Fee: <br />c <br />v <br />Compositor Setup Daze: Time: <br />m <br />g <br />Z <br />q <br />e3 <br />e3 <br />'� <br />0 <br />Z <br />Samp Location Description Date Time <br />Num Sampled Sampled <br />0 Trav Iii 2 <br />Ix <br />IM <br />emarks <br />Relinquished Date: Time: <br />R ed Date: Time: <br />Relinquished Date: Time: <br />2/q/� 1'3"449°�/7{/eZ <br />z /70 a <br />s 1v( l�0 <br />fw <br />dayr S� <br />e: Time: Received Date: Time: Received <br />By: BY: By: Date: Time <br />% �` <br />Corporate Oftiaes & Laboratory <br />Offloo 6 Leboratory <br />Office & Laboratory <br />Office a Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2600 Stageooach Road <br />563 E. Undo Avenue <br />3442 Emprese Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />TEL: (805)392-2000 <br />TEL: (209)942-0182 <br />TEL: (530)343-5818 <br />TEL: (805)783-2940 <br />TEL: (559)7349473 <br />` Env FAX: (805)525-4172 /Ag FAX: (805)392-2063 <br />FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />FAX: (805)783-2912 <br />FAX: (659)7348436 <br />CA ELAP Certification No.1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2776 <br />CA ELAP Cert icatton No. 2810 <br />