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CHAIN OF C USTOD Y <br />ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br />Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED / <br />-301 <br />Client: Neil Anderson & Associates = i ; ! i ? ) <br />f � ii � 1 : t � t � t j <br />Customer Number. 3009574 <br />Address: 902 Industrial Way <br />Lodi. CA 95240 <br />t to � ;, t � : � ; � � i• ! � „y;. � �' 7 j • � ; <br />` Phone: (209)367-3701 fax: (209)333-8303AL <br />. <br />Contact Person: Neil Anderson zFj g _�' <br />Project Name: <br />• <br />D <br />• . c- <br />m <br />Quote Number: �` <br />Purchase Order Number. <br />rn 3 r i. <br />i Sampler(s): rA Rti <br />i d.�' �' 5� t� �J �~ 0 j i i j •� <br />a {!' = )'•moi ' \(� : ' ` i + ? i, <br />j!E o 2 `. y1 <br />Sampling Fee- Pickup Fee: s d Sa ; m . : 3i <br />! $ 4 <br />Compositor Setup Date: Time: ' t <br />i _ ! r + T <br />Compos p '!: � ° O y m 0 <br />................. ................... .............. .......... ................ .............. ...... ..... <br />.......................�: 7 <br />Date Time <br />Samp Location Description <br />a <br />i 1 <br />t Num Sampled .Sampled e s — <br />t i t t <br />1 <br />.......................... .. - ...........i................................. .� _ - _ .. _ _- _ _. <br />9..........t...... .....-atsv.....�.:i <__..... i _ �i•.L.� -�:�i.. .`....^_.r:.Ci:1::•::: i. ....•t••Vy....rj�rL- <br />...... <br />N>� a: — .4 .�c-�C ... --- — +�-- -•---- <br />/ <br />.. f <br />: s � � i X ix i � t• �- � t <br />1t t <br />.... 44 <br />...... <br />.-.-----:7w4.. •,----._ r......_..: . <br />.. ............. <br />7 <br />yt <br />.,-- <br />iy 1 t <br />A i <br />t <br />j . <br />tft <br />'Remarks Relinquished Date: Time: Reh 'shed ate: Time: Relinquished Date: Time: <br />Reciev y: Date: Time: Rescued By Da <br />/o� /;!D C) <br />I of L: <br />Time: <br />/?t)IJ <br />01 /03/2007 11:54 Adv <br />