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EM <br /> IKOnMENTAL Weekly CHAIN of CUSTODY <br /> - www.fgllnc.com Laboratory Copy (1 of 3) <br /> `I 33458:0510712007 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 /> Phone: (209)367-3701 Fax: (209)333-8303 3 0 <br /> ° <br /> Contact Person: Neil Andersgn * a n <br /> Project Name: �� A u <br /> � + <br /> Purchase Order Number: �0r <br /> Quote Number: <br /> 3ampler(s) G1. <br /> Sampling Fee: Pickup Fee: °C° <br /> Compositor Setup Date: _!�!� Time: Z O p" ; PG <br /> Q i) E o A <br /> Lab Number: STK 3-9574 o rn a. a I'd y r d <br /> �O a> <br /> � <br /> Sam Date Time r, 5 '� < <br /> Nun Location Description Sampled Sampledt= p° p a o°o <br /> 0 Travel Blank -y"f}T -30 G LBW 2 <br /> 1 —.(U(e >' It — / 13r G DW 2 1 <br /> Remarks: elinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> ' /7" w <br /> Received By: Date: Time: Received By: Pate: Time: Received By: Date: Time: <br /> Fb4- V-//07 / � � 9�y1�� l I <br /> Ca orranrate Offices&Labora Office R Laboratory Field Office <br /> [4_►]C Visalia,California <br /> P.O.Box 2721 853 Corporation Street 2500 Stagecoach Road <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 TEL:(559)7349473 <br /> (SO-)9ol-2000 _ { r �^ TF!' {20 �no_1132 p -.., r _ i r_ r_Mohile:{5 91 737-2399 <br /> - (804172 L�� L.r Ly.�.t .: {20 ��aa1423y L„--�..,. 1559935 �,�k <br />