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i i i i 1• i i i l• i i i i i i i i i <br /> Mccam9ll Analytical Inc. Pae I of 1 ` <br /> 110 Second South,#D CHAIN-OF-CUSTODY RECORD g <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0204268 <br /> Client <br /> Advanced GeoEnvironmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, GA 95215 Pro]ectNo Lodi Theatre <br /> PO 16-Apr-02 <br /> Requested Tests <br /> Sample ID ClienlSamplD Matrix Collection Date Bottle F8021B18015 ` <br /> 0204268-001 INFLUENT Air 4/15102 2 14 00 PMA <br /> 0204268-002 - _ EFFLUENT Air -_1_4/15/02 2 10 00 PM A <br /> I <br /> I <br /> Comments. <br /> --- - — Date/Time -- Date/Time <br /> Relinquished by. Received by j <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 S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />