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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0203358 <br /> Client <br /> Advanced GeoEnvironmental TEL <br /> 837 Shaw Road FAX <br /> Stockton, CA 95215 ProtectNo Pacific Mini Mart- <br /> PO 20-Mar-02 <br /> Requested Tests �------_- _--�T-�--- - _ <br /> Sample ID ChentSamplD Matrix Collection Date Bottle [:�200_7 SM4500H+B SW8015C SU21B18015 — — <br /> 4203358-001 Influent —Water T 3120102 __ --- A <br /> -- r I <br /> 4203358_002 - -- Etlent _ - Water_ 3120102_ T _ D _-_ C A <br /> Comments. <br /> - - -- ----� Date/Time ------- — --- DatelTmie <br /> Relinquished by Received by <br /> Relinquished by. _ Received by <br /> Relinquished by Received by <br /> NOTICE Solid samples are discarded after 60 days and Non-Solid samples are discarded after 30 days unless other <br /> arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type l.-titer V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />