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McCamn ell Analytical Inc. <br /> 110 Second venue South,#D7 CHAIN-OF-CUSTODY RECORD page t of 1 <br /> Pacheco,CA 94553 5560 <br /> (925)798 1620 WorkOrder 0209327 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 Prolecthlo Pacific Mini Mart <br /> PO 20-Sep-02 <br /> Requested Tests <br /> _ — T <br /> Sample ID ChentSamplD Matrix Collection Date Hold S1V14500H+B 5W8035C 802iB!$0'E5 - SW82606 I —� <br /> 0209327 002 Effluent Waier 9119!02 12 1500 PM- -C <br /> 0209327-001 Influent Water 9119102 12 30 00 PM I C A B <br /> _ �- _ ____- - ..__ <br /> Comments <br /> -- - --- - - - --- -- - 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 S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />