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MW ENVIRONMENTAL ee�Y CHAIN OF CUSTODY <br /> - - www.fgllnc.com <br /> Field Copy (3 of 3) <br /> IL_119111PI11.1.111 IIUII91111 P <br /> 33458:12101/2008 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: 902 Industrial Way <br /> Lode,CA 95240 <br /> v <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 a <br /> v <br /> Contact Person: Neil Anderson <br /> Project Name: <br /> Purchase Order Number: ✓ V <br /> � a v <br /> Quote Number: V w .' <br /> rn <br /> Samplers) y�. 0 w <br /> Sampling Fee: Pickup Fee: no. ❑ W O <br /> Compositor Setup Date:_I_!_ Time:_I_ _ Z C) <br /> cn I~ N rn C? <br /> Lab Number: STK 3-9574 <br /> U ^ <br /> Samp Date Timea '� „ <br /> � Q E N <br /> v <br /> Num Location Description Sam [ed Sampled " ' o m c° .5 <br /> A p H a w oaO wv 300 <br /> 0 Travel Blank U�, O.c;: G LBW 2 <br /> 1 ` - ! � G DW 2 1 <br /> f �) <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> i iso <br /> 12: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> f1 <br /> 11 <br /> CorporateOffices&Laboratory Office&Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 East 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:(559)737-2399 <br /> FAX: (805)525-4172 FAX: (209)942-0423 FAX: (530)343-3807 FAX:(559)734-8435 <br />