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4 <br /> McCampbell Analytical, Inc. I;UAIN-OF-CUSTODY RECORD Page I ot 1 <br /> 1 10 Second Avcnue Soulh,#fD7 <br /> Pacheco,CA 94553-5560 <br /> Lt"ir' (925)798 Ab20 Work-Order: 0405430 Ctientl[D: AGES <br /> Report to: Bill to: Requested TAT: 5 days <br /> Paul Dotson TEL: (209)467-1046 Accounts Payable <br /> Advanced GeoEnvironmental, Inc. FAX: (209)467-1118 Advanced Geo Environmental, Inc. <br /> 837 Shaw Road ProjectNo: Local Food Store 837 Shaw Road Date Received: 5127104 <br /> Stockton, CA 95215 PQ: Stockton, CA 95215 Date Printed: 5/27/04 <br /> Requested Tests(See legend below) <br /> Sample ID ClientSam ID Matrix Collection Date !told! 1 2 1 3 4 5 6 7 1 8 9 10 i 11 12 13 14 1151 <br /> - T 15/26104 8:26:00 AM I - <br /> j0405430=001 - MW 1 — Water 51 126!04 9:44 00 AMI/ ❑ B - A A <br /> 10405430-002 _MW2-- Water J ❑ ... B � A <br /> � I <br /> 0405430-003 MW3 Water 5126/04 10:02:00 1 S A <br /> 0405430-004MW4 Water 5126!04 9:26:00 AM 1 <br /> - ❑ - - -. <br /> 0405430-005 MW5 - Water 5126104 9:09:00 AMI ❑ B 1 A <br /> Test Legend: <br /> S-OXYS+PBSCV_W - 2 G MBTEX_W j 3 PREDF REPORT 4 _ _ 5 - <br /> - - <br /> 6 8 9_IL <br /> -- - -- 13 114 - --- - -- <br /> 1-21- 15 1 <br /> Prepared by. Maria Venegas <br /> Comments: <br /> 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. <br />