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_ = m ENVIRONMENTAL weekly CnAIN OF CUSTODY <br /> www.fglinc.com Field Copy (3 of 3) - <br /> 1111111111111111111 HIM I JIM- 33458:12103/2007 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Neil Anderson& Associates <br /> Address: 902 Industrial Way <br /> Lodi,CA 95240 <br /> d; <br /> Phone: (209)367-3701 Fax: (209)333-8303 <br /> Contact Person: Neil Ander on <br /> Project Name: I G I't:;' ' � C� 6 <br /> Purchase Order Number: f . <br /> or C7 W a o <br /> f )' ro <br /> Quoic Number: U w 3 a <br /> u>� 54 <br /> sampler(s) �'k <br /> r 0 w = a <br /> o O <br /> Sampling Fee:_ Pickup Fee: c ° nw r <br /> i <br /> O <br /> StuDae: _ ;Titg: _Composito 'v <br /> z O LC N <br /> C <br /> 3-9574 c A _ i <br /> Lah Number: STK - d v ^ d ll <br /> E, Ww a ro <br /> a p > L <br /> sompDte'. Tine ,r <br /> Nt111 1-ocatiun Description' Y F C, <br /> Sampled Fqwv a F v N <br /> i <br /> 0 ']'ravel !flank G LBW 2 <br /> G DW 2 1 II <br /> 1 <br /> - i <br /> Remarks: Relinquished -' Date: �">iiar)3 elinquished Date: Time: Relinquished Date: Time: <br /> f <br /> AAJ <br /> RYt ived By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> CQrRto Office L r t r Oftise&&Laboratory Wire&Laboratory Field Office <br /> r 0.Box 272 r 853 Corporation Streel 2500 Stagecoach Road 563 East Lindo Avenue Visalia,California <br /> Santa Paula.CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 TEL: (559)734-9473 <br /> TEL: (8051 392-2000 TEL: (209)942-0182 TEL: 530343-5818 Mobile:(559)737-2399 <br />-- rAX (flr151.ri75-4.179 rnv rono}nno_nnoa CA— (svrn ons-10— FAX 15.591 734-Rdl.5 <br />