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��"� Weekly CHAIN OF CUSTODY <br /> ENVIRONMENTAL wt w.fglinc.com Laboratory Copy (Z of 3) <br /> 1 33458:05/0712007 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 /> a <br /> Phone: (209)367-3701 Fax: (209)333-8303 3 a <br /> Contact Person: Neil Anderson w x <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: > <br /> Sampler(s) � C�eb� n W p^ v <br /> r <br /> o O <br /> Sampling Fee: Pickup Fee: °c^° ap O <br /> c o " A'R U Z <br /> Compositor Setup Date:_l�l_ Time:`l� z O A <br /> Lab Number: STK 3-9574 0 .� O v <br /> P4� o� U{ <br /> is <br /> Samp Location Description Date Time a o a o ; o <br /> Num Sampled Sampled F p ay Fq O w o0 <br /> 0 Travel Blank ` G 1LBW1 2 <br /> t G DW 2 1 <br /> Ir 6 l✓' <br /> F4- <br /> elinquished Date:�`Cime: quished f Date: Time: Relinquished Date: Time: <br /> Remarks: <br /> tel 0 <br /> By: Date: Time: Received By: Date: Time: Received y: f Date: Time: <br /> Field Office <br /> r�.,..,...�ra nffiCs&Laboratory Office&L boratory Visalia,California <br /> 2500 Stagecoach Road <br /> P.O.Box'272 1 853 Corporation Street Stockton,CA 95215 TEL{559)734-9473 <br /> Santa Paula,CA 93061-0272 r _ Me,hile:(5581 7: 143 9 _ <br /> r:Tri: (20�`n..n 0182 r" —�. - L.�a (551435 <br /> (20_.--._D423 <br />