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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of , _ <br /> 110 Second Avenue South,#}D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798 1620 WorkOrder: 0206186 . <br /> Client <br /> Advanced GeoEnvi ro n mental, Inc TEL (209)457-1005 <br /> 837 Shaw Road FAX (209)457-1118 <br /> Stockton, CA 95215 ProjeclNo Lodi Theatre <br /> PO 12-Jun-02 <br /> - Requested Tests <br /> Sample ID ChentSamplD Matrix Collection Date Bottle [ 80218/8015 <br /> _k <br /> I <br /> 0206186-001 Influent Air 611110211 00 00 AM A <br /> 02Dfi186-OD2 Effluent Air 6111102 11 05 00 AM A <br /> Comments. <br /> ---_ DatelTtme- i Date/Time <br /> Relinquished by: �— Received by. <br /> Relinquished by: Received by. <br /> Relinquished by. Received by <br /> {VOTE 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 Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />