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McCampbell Analytical Inc. <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 <br /> WorkOrder 0207204 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Pacific Mini Mart <br /> PO 16-Jul-02 <br /> Requested Tests - --- - <br /> Sample ID ClientSamplD Matrix Collection Date Bottle SM4S1111+B SW8015C 8021BI8015 W -� —I <br /> 0207204-001- - - -Effluent Water 7115102 2 20 00 PM O _ _s - <br /> 0207204-002 1Influent Water 7/15/02 2 15 00 PM <br /> Comments <br /> Date1T>Ime <br /> E" ��-—- - -— — ---- - ---- 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 O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />