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ENVIRONMENTAL weekly CHAIN of CUSTODY <br /> www.fgllnc.com Customer Copy (2 of 3) <br /> I 33458:0210212009 TEST DESCRIP'T'ION See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson& Associates <br /> Address: Attn:Neil Anderson <br /> 902 Industrial Way .a <br /> Lodi, CA 95240 <br /> u <br /> Phone: (209)367-3701 Fax: (209)333-8303 R <br /> a. <br /> Contact Person: Neil Anderson * a <br /> Project Name: <br /> Purchase Order Number: 0 <br /> / (n cd <br /> Quote Number: : 1 V W 3 v <br /> «? W <br /> Sampler(s) a w <br /> E W F- <br /> z <br /> 0 h >. O <br /> Sampling Fee: Pickup Fee: o, <br /> z <br /> Compositor Setup Date?—I—I— Time: l a z° p v U <br /> rn Ei o rn _Q <br /> Lab Number: STK 3-95740 a T v 0¢ E <br /> 0 0 F, rY O 0 V N <br /> Samp 1 Location Description:. Date Time V T o U 'U a� a <br /> Num Sampled"` Sampled F c m m O w"':P 3 000 <br /> 0 Travel Blank ► G LBW 2 <br /> 1 i b /0 G DW 2 1 <br /> Remarks: elinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> R ceived By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> //7/2,3JO V165, <br /> CQrporate Offices&Laborotarry Office LaboratoQ(fice&Laboratory <br /> Feld Office <br /> 653 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 />