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0 McCampbell Analytical, Inc. CHAIN OF CUSTODY RECORD <br /> OTURN AROUND TIME: i til I DAY 2 DAY 0; 3 DAY 5 DAY <br /> O 1534 Willow Pass Rd. / Pittsburg, Ca. 94565-1701 ❑ <br /> www.mccampbell.com / main@mccampbell.com (;coTracker VIA:U PDI' Q,I HA)Ol Writc On(DSV)❑ EQuIS � 10 DAY Q <br /> Telephone: (877) 252-9262/ Fax: (925) 252-9269 ' <br /> Effluent Sample Requiring"J"Ila-Q' UST Clean Up Fund Project ; claim / <br /> Report To: chH Bill To: v1n ct/ A11a1N•sis Ize(I nest <br /> Com am': Q,J L50 1 e) <br /> Ic Z L,d, 't'T2-i6 <br /> Tele: y - 3"1( I E-Mail: G erev-o fe//Acm,om <br /> Project#: �U (> Pro <br /> Project Location: Z u /,�� Purchase Order# v — ? — <br /> Sampler Signature: — £ = <br /> SAN I'NG <br /> 1'RF.SERVED _ <br /> S MPLE ID l.ocatintt/ <br /> r field POitl — <br /> rrLo <br /> Nantc Date <br /> Time <br /> F1 <br /> "MAI 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 air,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 for allowing us to work safely. <br /> 11 tats ar ested for water samples and the water ty is not specified on the chain of custody.then MAI will default t et E200.8. <br /> Ref lois D:ue: time: Itcccked 131: ICE/t° ( 0)I)11:NlS: <br /> ( Z(J + I / GOOD CONDITION <br /> k ZZ � Jl�/� �/ IlEAD SPACE ASSENT <br /> cliff lctl)3_: Unte: Time: Rrcciv I). - DECHLORINATED IN I.AQ <br /> APPROPRIATE CONTAINERS <br /> PRESERVED IN LAB <br /> Rclinqui.hcd B.%: Dutc: I ime: Rett-ked 13): VOAS OKG DIETALS OTHER HAZARDOUS: <br /> PRESERVATIONplI<2 <br /> Page 9 of 10 <br />