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G ra COC _ MAI Work Order# <br /> OMcCAMPBELL ANALYTICAL, INC. — CIIAIN OF CUSTODY RECORD <br /> O <br /> 1534 Willow Pass Rd. Pittsburg,Ca.94565-17111 burn Ammid Time:I Day Rush i Day Rush 3 Day I SIDI Qo,te# <br /> WO 'relephone:(877)252-9262/Fax:(925)252.9269 1-111,. inn list., Ulcm,up Approscd Dry%Vcight I Bottle Order 41 <br /> w%+-%v.mccampbell.com main(u nlccampbe1Lcom Dclivcn Format: PDF Geo'frackcr I:D1. EDI I Write On tDR'I Dctcct Sununary <br /> Report To: r n Dill To: Analysis Requested <br /> C0111pa11v: G7o/a/3 ��, ��r �.( G•,1 �4v.• st` 5 - _ <br /> Email: Z <br /> All {-Mail: TOle:&44 - - <br /> e <br /> Project Name: /0Fns Yom` Project tJ: - <br /> _ _ - <br /> Prujtrl LOCU6011: f C. ¢, PO <br /> - - - - - <br /> Sampler Signature: �G � - x _ e _ _ - _ E <br /> r x K <br /> SAMPLE II) Sampling = - _ <br /> a Matrix <br /> Location Field Point Date hille <br /> F- Lv mI <br /> O <br /> �.Zc— <br /> %1AI clients\LUST disclose any daneennu chemicals known to be present in t)rcir-hl lied-inplcs in concerumtions thot may cause immediate harm or serious tmLite health endangerment a>a result of briel,doted.open air.sample handling hq MAI stall: <br /> Aon-draclosure incurs an rnmediate S250 surcharge and the client is subiect to full lecal liability lir harm suffered.Thank you tin your understanding and for allowing us ar soak s:dcl% <br /> `If motah are requested for mater samples and the water typc(Matrix)is not specified on the chain of oust«I>,MAI will default to ntctak by 1i2010 C'ommcnu lnstnicnons <br /> Plcasc provide an adequate volunic of sample.11,111c volume is nut suflicicnt lin a NiSAISD a LCS%LC'SD%ill be prepared in it:place and noted in the report. <br /> Relinquished By/Company Name Date Time Received By/Company Name Date Time <br /> f <br /> Matrix Code: DW-Drinking Water,GW Ground Water. WW=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air, SVP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=1-10 3=H,SOa 4=11NO, 5-Na0ll 6-Zn0AC/Na0H 7-None Temp Initials <br /> Page of <br /> Page 10 of I I <br />