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• <br />Z <br />4 !PM. P DVT SRC 0 <br />31 Composite (C) Grab (G) Compositor Setup Date: Time: <br />Samp I Location Description <br />Num <br />Travel Blank • <br />Domestic Well <br />Received By: d By: Date: Time: Receir Le: Time: <br /> <br />Relinquished Date: Time: <br /> <br />PQ. sActz/ Is:ito <br />/ "fa' 7.PD..2- a 46 /k /903-1100 <br />B Date: Time: <br />3h\-?Qc go. <br />Time: Remarks <br />ENVIRONMENTAL <br />CHAIN OF CUSTODY <br />AND ANALYSIS REQUEST DOCUMENT <br /> <br />Lab Number: <br />0Z,W AO <br />TEST DESCRIPTION AND ANALYSES REQUESTED <br /> <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 <br />Project Nome: Sandoval, 25130 N. Pearl Rd., Acampo <br />Purchase Order Number: <br />Quote Number. <br />Sampleds). n _ A <br />retel Kozco <br />Sampling Fes: Pickup Fee: <br />; <br />I <br />Date Time I <br />Sampled I Sampled <br />V/4/21. 11. 70 G <br />3/1 11.10 6 <br />; <br />?• <br />• <br />Corporate Offices & Laboratory <br />853 Corporation Street <br />Santa Paula, CA 93080 <br />TEL: /305/392-2000 <br />FAX: 805/525-4172 <br />CA NELAP Certification No. 01110CA <br />Office & Laboratory <br />2500 Stagecoach Road <br />Stockton, CA 95215 <br />TEL: 209/942-0182 <br />FAX: 209/942-0423 <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: 559/737-2399 <br />FAX: 5597734-8435