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ENVIRONMENTALWeekly CHAIN OF CUSTODY <br /> www.fglinc.com Field Copy (3 of 3) <br /> 33458:0510712007 TEST DFSCRIPTION See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: 902 Industrial Way <br /> Lodi,CA 95240 <br /> c v <br /> 3 <br /> Phone: (209)367-3701 Fax: (209)333-8303 R <br /> Contact Person: Neil Anderson * �' <br /> Project Name: <br /> Purchase Order Number: <br /> .+ 0 � N n <br /> Quote Number. jw Q <br /> G4 � <br /> Sampler(s) <br /> 0 U0 <br /> oO P� W rn t <br /> Sampling Fee: Pickup Fee: p o a O <br /> Compositor Setup Date:_/�!_ Time:_I, a Z O lu A <br /> 0 <br /> Lab Number: STK 3-9574 o v p c£i <br /> M <br /> Samp Date Time v o °' a N <br /> Num Location Description Sampled Sampled p° p w 3000 <br /> 0 Travel Blank y'? 7 G LBW 2 <br /> ,` 1 <br /> l w i i G DW 2 l <br /> Remarks: R1 elinquished Date" Time: Relinquished Date: Time: Relinquished Date: Time: <br /> '. <br /> / -� t <br /> J Recei(v/./ed By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Oorpgrate Oftices Laboratory r Field Office <br /> Office&Laboratory Visalia,Caiifornia <br /> P.O.Box 272/853 Corporation Street 2500 Stagecoach Road 563 East Lindo Avenue TEL: (559)734-9473 <br /> Santa Paula,CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 <br /> _ _ _ Ch � 5 9 5926 18 -� + f Mobile:( 59)737-2399 �_�' <br /> L TFLTFL: (8 F5 392;2000 T TEL' ( ^ X42 01$= -� r 5 8435 . <br /> (8 -417 �,r..+,.1 -I,,.a�pAX: -.'2-04 .} L•T ..� ��. .i f_„�....,�._�K: (5 ,:._�i-3807��= <br />