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VIROI`IMEI`ITAL Weekly CHAIN OF CUSTODY <br /> www.fgiinc.com Laboratory Copy (1 of 3) <br /> 33458:12/03/2007 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 /> e <br /> Phone: (21I9)367-3701 Pax: (209)333-8303 <br /> a <br /> Contact Person: <br /> Project Name: '}?�Nei�l 4 1"AndersoP ,l, va tri <br /> Purchase Order Numb <br /> Quote Number: 44 <br /> ca <br /> Sampler(s) 0 <br /> O I <br /> Sampling Fee: Pickup Fec: <br /> Compositor Sump Date:_!_/_ Time: r a y° <br /> �3/ �r7 ti _ g 4.9 <br /> La .� <br /> b Number: STK Q r-y 3-9574 `xo rn 1 Y y 0 . <br /> 0 7 a <br /> SampDate Time <br /> Num Location Description Sampled Sampled �9 i- <br /> 0 Travel Blank .� �� G LBW 1 1 2 <br /> 1 arccLf 2 • -04 G DW 2 1 <br /> d <br /> Remarks: y1,.qu.hDatc: Rel' sbed ate: Time: Relinquished Date: Time: <br /> Received By: Dam: Time: Received By: / m: Time: Received By: Date: Time: <br /> -o�I ��o� �9 46 /70 <br /> Ca•;nAq Offices&Laboratory =011 &Laborarory Office A Labosmitew Field Ottlee <br /> 563 Eaet Undo Avenue Visalla,Californ a <br /> P.O 8oz 2]2/653 Corporation Street 2500 Stagecoach Road Chico,CA 95926 TEL. (559)7349473 <br /> Santa Paula,CA 930614,272 Stockton,CA 95215 TEL (530)343-5916 Mobile:(559)737-2399 <br /> I EL. (WS)3W-2000 TEL: (209)942-0162 FAX (559)734-9435 <br /> FAX. 19051 525-4172 PAY (9nq)g4p-n4DA PAX (5301343-390] <br />