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l`IVIROI`IMEI`�TAL Weekly CHAIN OF CUSTODY <br /> www.fglinc.Corn Laboratory Copy (1 of 3) <br /> II II 11111 Jill 33458:12/03/2007 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> cli,nr Ncil Anderson& Associates <br /> A,I,frc 'nl' Inrlutili A Way <br /> I -11, t ;\ 95240 a <br /> 3 � <br /> Phone: (309)367-3701 Fax: (209)333-8303 3 <br /> a. <br /> cnnfact Person: Neil Anderson 1 * a <br /> Project Name: _01 <br /> + q ou <br /> Q <br /> Purchase Order Number: �V �7 O tct o <br /> Quote Number: �j W 3 a <br /> v <br /> Y > ¢ > a <br /> ampler(%) <br /> 0 <br /> E w a v a <br /> L) * Ln <br /> T <br /> O <br /> �a <br /> Sampling Fee: <br /> Pick-up Fee: w W <br /> Compositor Setup Date: Time:_/_ v �a x v U T <br /> m Q z O b <br /> Lah Number: S!K7g0X� 3-9574 ` ° NVQ <br /> d <br /> O <br /> Salle' Date Time 5 U a 0 d v <br /> Nuut Location Description <br /> Sampled Sampled [~ a oa M O w o 3 000 <br /> 0 Travel Blank G LBW 2 <br /> G DW 2 1 <br /> Remarks: elinyuished Date: Time: Reli shed Date: Time: I iishe Date: Tithe: <br /> ri%rte/��/� Lz 07 JZL� �C� <br /> % Received Bv: Date: Time: Received By: Date: Time: eceiv y: ate: n <br /> 0, Corporate Offices--5 LjobwaWryFi I ffre <br /> Office&Laboratory Office&Lab�p( Visalia,1 953 Corporation Street 2500 Stagecoach Road 563 East Lindo Avenue TEL: (,CaliforniaCal fornix 73 <br /> l 8w,1a.CA 93061-0272 Stockton,CA 95215 Chico,CA 95926 Mobile:(559)737-2399 <br /> EI tuc;r:19?2n00 TEL: (209)942-0182 TEL: (530)343-5818 FAX. (559)734-8435 <br /> FAX: (209)942-0423 FAX: (530)343-3807 <br />