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ENVIRONMENTAL Weekly CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (1 of 3) <br /> 33458:03102/2009 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: Atm:Neil Anderson <br /> 902 Industrial Way .a <br /> Lodi,CA 95240 <br /> 0 <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 a <br /> v <br /> Contact Person: Neil Anderson <br /> l <br /> Project Name: Wtt 5 J-7-C� <br /> Purchase Order Number:% GS o�osV-7- �? w o <br /> L <br /> 3 c <br /> Quote Number. v <br /> ur <br /> pler(s) E w a v <br /> o � t T O <br /> O a N a m <br /> m o O c l eq m <br /> Sampling Fee: Pickup Fee: c or .� y O r <br /> a o f %v m z <br /> Compositor Setup Date:_I_/_ Time:_/_ N E z O - <br /> 0 �/ <br /> Lab Number: ST K 3-9574 0 o a N> U 'l <br /> Samp Date Time .n v ¢-� <br /> Num Location Description Sampled Sampled F a W m O <br /> 0 Travel BlankG LBW 2 <br /> I "� (in yj %// 0' 61 G DW 2 1 <br /> Gw <br /> Remarks: anguished ate:. Time: R nquished D,�te: Time: I Relinquished _ Date: Time: <br /> ��6-l5 �� pDq fz� ^fly\SII /, <br /> By; Dgte: ime; Rec ed B :� a/ / Time: eceiv B <br /> Off' &Laboratory Office&L boratory Field Office <br /> 8 <br /> Corporate OHI &Laboratory Visalia,California <br /> 2500 Stagecoach Road 563 East Lindo Avenue <br /> 653 Corporation Street Chico,CA 95926 TEL:(559)734-9473 <br /> CA 93060 Stockton,CA)995215 Mobile: 559 737-2399 <br /> Santa Paula, TEL: (530)343-5818 ( ) <br /> IL (Pn51�yy2-2000 TEL: (209)942-0182 FAX' '"ry 343-?om F (559)734-6435 <br /> m fi E-417 �-AX: 142-04 1 1 1 1 1 1 1 T I I <br />