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General COC MAI Work Order# <br /> ® McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg.Ca.94565-1701 Tum Around Time Day Rushl 12 Day Rush 3 Day Rush I STD Quote# <br /> WO Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag/MDL FSL Cleanup Approved Bottle Order Il <br /> www.niccanipbell.cmn main(i)mccamobell.com Delivery Format: PDF Gcormeker EDF EDD Write On(DW) EQu1S <br /> Report To:Tamara K.Woods Bill To:tkwoods@leffacon.com Analysis Requested <br /> Company:Temscon Consultants,Inc.,902 Industrial Way,Lodi,CA 7 fh <br /> Entail: Ikwoods@terracon.com p N <br /> Alt Email; Tele:20e-269-8586 lll W <br /> Project Name:Rowe Project#:NA177059 t t <br /> Project Location:12360 N.Angier Road,Lodi,CA PO# W O <br /> Sampler Signature: N W <br /> hPID Sampling n Y L 0 <br /> Location eld Point z Matrix Preservative ,�� m Q <br /> Date Time Z _ <br /> W1 2 f .AIP, 1 DW • <br /> W2 (1of2) 1 DW a�mNnat=k • <br /> W2 (2of2) �� 1 DW ��_ • -- • <br /> Trip Blanks 2 Water • <br /> MAI clicros MMT disclose any dangerous chemicals knoww to be present in their submitted samples in concentrations that may cause immediate harts or serious fuhae health endangerment as n result of-Imcf,gloved,open air,sample handling by MAI stag <br /> Non-discasnre incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank you for your undemanding and for allowing us to xrork safely. <br /> If metals are requested for oater samples and the water type(Matrix)is not specified on the chain of custody.MAI will default to metals by E200.8. Comments/Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its place and noted in the report. <br /> /Relinquished By/Company Name Date I Time Received By/Company Name Date I Time <br /> . 110716 C-71,A) i <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,W W=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=40C 2=14CI 3=H_SO, 4=HNO, 5=NaOH 6=ZnOAc/NaOH 7=None Temp 3. Initials <br /> Page_of <br /> Page 1 I of 12 <br />