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McCamp ell Analytical Inc. <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page 1 of ! <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0205076 <br /> Client <br /> Advanced GeoE nvi ron mental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Lodi Theatre <br /> PO <br /> 07-May-02 <br /> I <br /> Requested Tests Y <br /> Sample ID ChentSamplD Matriz Collection Date Bottle 6 0 21 8180 1 5 <br /> 0205076-001 Influent Air _ 516102 12 20 00 PM A -- ---- <br /> 020507fi-002 Effluent Air 5/6102 12 16 00 PM A <br /> I <br /> I <br /> Comments <br /> I <br /> T — Date/Time —�— — -- Date/Time — <br /> Relinquished by Received by <br /> Relinquished by. Received by <br /> Relinquished by Received by. <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 5-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />