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i I r r r <br /> ENVIRONMENTAL Weekly CHAIN OF CUSTODY <br /> www.fglinc.com Field Copy (3 of 3) <br /> 33458:03/02/2009 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: Attn:Neil Anderson <br /> 902 Industrial Way <br /> Lodi,CA 95240 °a <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 <br /> n <br /> Contact Person: Neil Anderson <br /> Project Name: <br /> Purchase Order Number:. <br /> m vo m <br /> v <br /> Quote Number: u > ¢ a <br /> Sampler(s) is <br /> W � � <br /> U h h O <br /> pp o O h W n <br /> Sampling Fee: Pickup Fee: a e 0. <br /> z <br /> Compositor Setup Date:_/_/ Time: / E = z rs F4 v Om <br /> Lab Number: STK 3-9574 `o a, a v v u <br /> Samp Date Times <br /> Num am led Sampled 2" ¢o a0LtiDiti <br /> Wv '3 eo <br /> 0 Travel Blank G LBW 2 <br /> 1 i G DW 2 1 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL 559/734-9473 <br /> TEL 805/392-2000 TEL:209/942-0182 TEL:530/343-5818 Mobile:5591737-2399 <br /> FAY6n6N5 ,fid179 FAX 209/942-0423 FAX:530/343-3807 FAX:559!734-8435 <br />