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O® McCampbell Analytical, Inc. /,may CHAIN OF CUSTODY RECORD <br /> r/O1534 Willow Pass Rd./Pittsburg,Co.94565-1701 ' DOS 1 TURN AROUND TIME: RUSH(a I DAY® 'DAY[a 3 DAY ED 5 DAY <br /> www.mccompbell.com/ main@meeampbell.eom <br /> Telephone: )877) 252-9262/Fax: )925) 252-9269 GeoTracker EDF E1 PDF❑ FDD Q. Write On(DW)E} EQuts El 10 DAY � <br /> Effluent Sample Requiring,".r"HagQ UST Clean Up Fund Project❑:Claim ff <br /> Re ortTo: Bi11To: Anal sis Request <br /> Company: fti ,Q' /,. <br /> t 9 <br /> Tele: G E-Mail: e 61 -h- r <br /> Project#: Project Name: <br /> Project Location: Purchase Order# <br /> Sampler Si nature: c ❑ __ .°^ <br /> MATRIX METHOD ` ? � <br /> SAMPLING PRESERVED '� a ? _ _ <br /> Location/ <br /> SAMPLE ID <br /> Field ruin � > - = � _ _ - � � ✓ _ - <br /> Name Date Time - a - _ - V <br /> U z_ <br /> E { a n - <br /> at <br /> S� /:3 <br /> -MM clients MUST disclose any dangerous chemicals known to be present In their submitted samples In concentrations that may cause Immediate harm or serious future health endangerment as a result of brief,gloved,open ak•sample <br /> handling by MAI staff.Non-disclosure Incurs an immediate$250 surcharge and the client Is subject to full legal liability for harm suffered. Thank you for your understanding and lot allowing us to work safety. <br /> 1-rT <br /> —Umatahmere uesfedlorwalei flim lesand Me water typets not f etl lin the chain of custody,then MAI"default to metals by E200.8. 417-7 <br /> Rel' heit By: Dal Time: R ry IC.E/P COMMENTS: <br /> CONDITION <br /> BEAD SPACE ABSENT L <br /> elincreshed By: Date: Time: Received R�. DECHLORINATED IN LAB <br /> APPROPRIATE CONTAINERS r <br /> PRESERVED IN IAB <br /> Relinquished By: Dale: Time: Received Bpo CID <br /> VOAS O&G METALS OTHER HAZARDOUS: Ne <br /> PRESERVATION pHQ <br /> FV <br /> t_)n <br />