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r-l�- r� r-t Fill- r l r- r--1 r-1 r-, r-1 r-) r-, r-) r--' r-, r--I r--( r <br /> ErivikoI`ImmTAL Weekly CHAIN OF CUSTODY <br /> www.fgllnc.com Field Copy (3 of 3) <br /> 33458:12/03/2007 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 <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 <br /> 6 <br /> Contact Person: Neil Andelon {a/ ; a a <br /> Project Name: BIY i,+ to <br /> f It d / <br /> Purchase Order Number. ' <br /> �,/ r1 5A' 0 <br /> }y ! a N <br /> a <br /> Quote Number: - v >� ¢ �y <br /> C4 <br /> Sampler(s) ,. I a E <br /> W Z75 <br /> F <br /> t r U x e N ate. <br /> Sampling Fee: Pickup Fee: 5 p°, 0 � <br /> c v o � a <br /> Compositor Setup Dale:_/_/_ Time: 11 y E Z $O C z <br /> y Q <br /> Lab Number: STK 3-9574 0 w y T u ., y C v <br /> n F' [L� �> Ua <br /> Samp Location Description. Date-`.. , Tune u T o m '.$ a i N <br /> Num Sampled' Sampled F a ro ro 0 ala a: 00 <br /> 0 Travel Blank G LBW 2 <br /> �7 <br /> I <br /> I <br /> ) I <br /> Remarks: o'finquished Date: /�W eIn quished Date: Time: Relinquished Date: Time: <br /> RBy: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> 3 <br /> Corporate Offices&Laboratory Office,&Laboratory Office&Laboratory Field Office <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road 563 East Linda Avenue Visalia,California <br /> Santa Paula,CA 93061 0272 Stockton,CA 95215 Chico,CA 95926 TEL: (559)734-9473 <br /> rEL. (805)392-2000 TEL: (209)942-0182 TEL: (530)343-5818 Mobile:(559)737-2399 <br /> FAX Ifln.1595-6179 eAv tuner ono-neap env. mem on?amn FAXIfi5Q)7A4-A4AA <br />