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(ibtirroil�i't)lrazwastereinoval.coilI r,a fi-eniOLINV(ii)li,-izwastei-eiiioval.coiii <br /> Z z <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 134 WILLOW ROAD TURNAROUND TIME <br /> a <br /> PinsBURG, <br /> CA 94565-1701 RUSH 24 FIR 48 FIR 72 FIR 5 DAY <br /> Website:www.mccaumbell.cont Email: mainPgmccampbell.com <br /> Telephone:(877)252-9262 Fax: (925)252-9269 GeoTracker EDF PDF Q Excel Q Write On (DW)IQ <br /> Check if samele is effluent and"J"flag is required <br /> Report To: Bill To: Fremouvv Environmental Svs Analysis Request 00er Comments <br /> Company: Fremouw Environmental Services, Inc. <br /> Filter <br /> 6940 Tremont Road,Dixon,CA 95620 <br /> Samples <br /> E-Mail: o <br /> for Metals <br /> Tele: 707 448-3700 Fax: (707 448-3499 <br /> analysis: <br /> Pro Pr!?ject Name: B&C Painting Yes No <br /> ject#:62965 -72 <br /> V <br /> _V9,1 Dervin Pkwy Stoelton,CA 95206 6 <br /> Project Location: 107 1 = <br /> Sampler Signature: <br /> At-" <br /> .0 W <br /> METHOD <br /> U <br /> SAMPLING MATRIX <br /> PRESERVED a 4 <br /> LOCATION/ <br /> SAMPLE ID <br /> Field Point <br /> Name Date Time <br /> W, W. W, W, <br /> Ujca U U z <br /> 7 <br /> 4t 4 7-1 0 <br /> _A% <br /> X i <br /> BC-00 I 5,K1 10'3 S 1 Xj I Xi <br /> q <br /> Dpte: Time: Received By: ICE/t* COMMENTS: <br /> 1%?_0 P >e GOOD CONDITION ,, FPO <br /> O HEAD SPACE ABSENT - r <br /> Ct� <br /> I Relinquished By: Dte: Time: kic <br /> DECHLORINATED IN LAO <br /> APPROPRIATE CONTAINERS <br /> PRESERVED IN LAB <br /> Relinquished By: Date: Time: Received By: I- AA,1 LU'56A) <br /> VOAS O&C METALS OTHER <br /> PRESERVATION <br /> --01<2 <br /> Page 7 of 7 <br />