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c ENVIRONMENTAL Weekly CHAIN OF CUSTODY <br /> -- www.fgH11C.Coat Laboratory Copy (1 of 3) <br /> �11�j)J)jl II II'll IIIIII IIID IIIII IIIII IIIII 11111111_ 33458:09/03/2007 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 j <br /> 3 � <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 <br /> a <br /> Contact Person: Neil Anderson {1v <br /> I <br /> Pro ect Name: <br /> Purchase Order Number: w <br /> Quote Number: U w 3 C <br /> W <br /> Samplers) w a <br /> _ z C <br /> U v � � <br /> Sampling Fee: _ _ Pickup Fee: a0. <br /> Compositor Setup Date: / / Time: / ° ° a'J U Z <br /> -- g z C a m T <br /> cn <br /> Lab Number: STK '`/-j V56-,')- 3-9574 0 Cn E a. <br /> o> c <br /> Sam 1 Date Times v — v iE <br /> Num Location Description Sam led Sampled " a o �° �° a E v N <br /> P P F- a w coo w - 3 00 <br /> 0 Travel Blank G LBW 2 <br /> I � C�. ( e �) 1�y5 G DW 2 1 <br /> Remarks: elinquished Date: Time: Relinquished Dat Time: Relinquished Date: Time: <br /> o -e 13/3 % �7 /7r ti Uu <br /> By: Date: Time: Receiv d By: Datattee: Time: R eived By: Date: Time: <br /> �'� 0 0 l�1 C1 <br /> a Qorgorate Offices&L;1¢Qra1Qry Office&Laboratory Office&Laboratory Field Office <br /> f.0 11"X 853 C'orlxa.+tlon Stro('1 2500 Stagecoach Road 563 East Lindo Avenue Visalia,California <br /> nnln I"I"ki,CA 9306 1-02 12 Stockton,CA 95215 Chico,CA 95926 TEL: (559)734-9473 <br /> 7 t80,�)3x2:1000 TEL: (209)942-0182 TEL: (530)343-5818 Mobile:(559)737-2399 <br /> a �\V pO 1 1 h?F•,t 17;' FAX: (209)942-0423 FAX: (530)343-3807 FAX: (559)734-8435 <br />