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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page I of , <br /> 1 10 Second Avenue South,#D7 <br /> 1 Pacheco,CA 94553-5560 <br /> 1 <br /> L (925)798-1620 WorkOrder 0309221 <br /> Client <br /> Advanced Geo Envlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton CA 95215 ProtectNo Pacific Mini Mart Date Recewed 9112103 <br /> PO Date Pnnted 9112103 <br /> [SM4500HTBjSW8016C-- —_— _�_ Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Hold 80218!8075 SW8260B'�`� <br /> — 1 � <br /> �309221-001T Influent Water 111103 11 95 00 AM _ _❑ B A C W <br /> - Z -----T <br /> 0309221-002 __- -EfFluent Waterl11103]1 00 OD AArt ❑ b t3 _-___ A <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 />