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m m m m m m Mi MCC amp ell Analytical Inc. YINAIN-OF-CUSTODY RECORD Page 1 of` 1 r 110 Second Avenue South,#D7 Pacheco,CA 94553 5560 (925)798-1620 WorkOrder 0210109 Client Shaw Environmental TEL 4005 Port Chicago Hwy FAX Concord, CA 94520 ProlectNo #779956 630400 PO 04-Oct-02 Requested Tests Sample ID CitentSamplD Matrix Collection Date Hold <> _- 8021B18015 SW82608 -- -I e --❑ 0210109-001 MW-4A Water 1013102 10 10 00 AM ❑ B A B - 0210109-002 MW-4 Water 10/3/0210 30 DO AM ❑ I A B 0210109-003 MW-7 Water 1013102 11 08 00 AM ❑ A B 0210109-004 MW 5A Water 1013102 12 00 00 PM ❑ A B 0210109-005 MW-5 Water 1013102 12 15 00 PM ❑ A B 0210109-006 MW-3 Water 1013102 12 50 00 PM ❑ I A B 0210109-007 MW-6 Water 1013102 1 16 00 PM ❑ A B 0210109-008 MW-2 Water 1013102 2 15 00 PM ❑ A B 0210109-009 MW-1A Water 1013102 1 38 00 PM ❑ A B 0210109-010 MW-1 Water 10002 2 00 00 PM ❑ A B Comments --— - -- -- �_ Date/Time - Date/r] tme I Relinquished by Received by — Relinquished by — Received by - Relinquished by Received by NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other