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• Page I of 1 <br /> McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> Work4rder 0207236 <br /> (925)798-1620 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 Pro;ectNo Lodi Theatre <br /> 18-3u1-02 <br /> PO <br /> -— Requested_Tests <br /> Sample ID CUentSamplp Matrix Collection Date Bottle 8021BI8015� <br /> 0207236-001 _--- lnflu_ent Air _ 7/17/0211 02 DO AM - - - --A� <br /> 0207236-002 f_ Effluent— _..—�r 7117102 11 05 00 AM L� A --� _— ---- — — -- <br /> I <br /> Comments <br /> -- - - - - -- _ Date/Tame - -- ------- --Date/Time- <br /> Relinquished <br /> atelTimeRelinquished by _ Received by: -- <br /> Relinquished by __ Received by <br /> Relinquished by: Received by <br /> i <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 /> Bottle Type L-Liter V-Voa S-Soil.lar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> I <br />