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EI`IVIROI`IME1`ITAL Weekly CHAIN OF CUSTODY <br /> tuww.fglinC.Coin Laboratory Co2y (1 of 3) <br /> 1 33458:08/03/2009 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client: Neil Anderson&Associates <br /> Address: Aur it Anderson <br /> 902 Industrial Way <br /> Lodi,CA 95240 <br /> u <br /> Phone: (209)367-3701 Pax: (209)333-8303 <br /> a <br /> Contact Person: Neil Anderson : a a <br /> Project Name 4 <br /> h <br /> Purchase Order Numbe �/ 14 2 � <br /> �J <br /> Quote Number: U W 3 y <br /> r 04 <br /> ti <br /> Sampler(` cry E F <br /> �� �� <br /> U * h <br /> S ca Q <br /> Sampling Fee: Pickup Fee: 6by° 'y W m0 <br /> n O U <br /> E m A <br /> Z Z <br /> Compositor Semp Date:_/_/ Time:_/_ a u ad <br /> m y a q <br /> Lab Number. $TK �0 7 3.9574 `o rn a 6 w v 0 v <br /> a0 0� r <br /> Sam Date Time E '= `u V a' <br /> Num Location Description Sampled Sampled F a w X O W v 0 1' <br /> 3� <br /> 0 Tra t lank" <br /> 1 p,ys _ b 7i G DW 2 1 <br /> Remarks: linquished Date: , lime: Rin wished fi Date: Time: Relinquished Date: Time: <br /> 1�CX( IIT <br /> Dates Time: Received By: ate: Time: Reime: <br /> ceived By: Date: T <br /> Corporate Offices& Laboratory Office 8 Laboratory Office&Laboratory Field Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue Visalia,California <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 TEL 559x/34-9473 <br /> TEL:805/392-2000 TEL 209/942-0182 TEL 530/343-5818 Mobile'.559/737-2399 <br /> AX.lA 41721 1 Fq 942-4 1 1 30/34 1 X.551 - 435 1 <br />