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ENVIRONMENTALWeekly CHAIN OF CUSTODY <br /> www.fglinc.com Laboratory Copy (1 of 3) <br /> -111131111111111111111111111111111111111111111111111111111 33458:08103/2009 TEST DESCRIPTION - See Reverse side For Container,Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: Att it Anderson <br /> 902 Industrial Wav <br /> Lodi, CA 95240 <br /> °= e, I <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 .° <br /> v <br /> Contact Person: Neil Anderson <br /> !G U O u <br /> Project Name: <br /> Purchase Order Number: � <br /> / (^ Q m a <br /> Quote Number: G v 0YO l✓ �7 ¢ �u <br /> impler(s) v ] <br /> Sampling Fee: Pickup Fee: 6i a .cE h u] p <br /> Compositor Setup Date:_/ I Time: / E u z '$ C g , <br /> a O <br /> _^ <br /> Lab Number: STK / 3'x)7 3-9574 0 <br /> U ^ <br /> Samp Location Description Dale Time v T o '>u U $ Q<'� u N <br /> Num Sampled Sampled F. a m W <br /> 0 Tr ank cl .g <br /> G DW 2 1 <br /> Remarks: linquished Dale: Time: Relinquished Date: Time: wished Date: Time: <br /> iv By: Date: Time: Re ived By: Date: Time: Received By: Date: Time: <br /> ��a$Jo9 / 45 1� ( 115 <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�t TEL:209/942-0182 TEL.530/343-5816 Mobile:559/737-2399 <br /> -AX.i 4174 Ff 19424 1 1 -30134 1 1 i 1 x'.51 :435 <br />