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General COC MAI Work Order rl�� I � 1 <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg.Ca.94565-1701 Turn Around Ionea Dav Rush 1 2 Day Rush 1 t Day Rush I I S I-DI • 1 Quote`: <br /> WO Telephone:(877)252-9262/Pax:(925)252-9269 J-nag \tot I I GSI. I Clearop Approved I I Dry weight I I Bottle Order ii <br /> www.mccamphell.coin main(a'mCcam bell.coin Delivery Formas I'DI GeoTmeker EDF I EDD I \1'rin on(DW) I Detect Smmnary <br /> Report To:TAMARA WOODS BIII To:MACY HUMPHREY Analysis Requested <br /> Compan}:TERRACON CONSULTANTS INC <br /> O <br /> Ismail:TAMARA.WOODS@TERRACON.COM o <br /> M <br /> Alt Email: Tcic: 209-712-7159 W <br /> Project Name:GRIBAUDO PROPERTY Project ft: NA197081 Z <br /> Project Location:10516 E.PELTIER ROAD,ACAMPO PO: < t(j <br /> Q W <br /> Sampler Signature. _ ��__ LU <br /> Sampling <br /> SAMPLE ID Of Of <br /> !Field Point <br /> = Matrix rresetv:nwc F- m <br /> Date Time Z p <br /> GW-1 Domestic Well v t� 5 1 GW • <br /> GW-2 Domestic Well /p T�k2 p 2 GW �- E • <br /> TRIP BLANKS (6 ( 2 <br /> GW-3 Ag Well 0 31 1 • <br /> GW-4 Ag Well 0 1 2 Ana_r,r • <br /> TRIP BLANKS to 111 ' ! 2 JAI <br /> MAI clients MOST dixlosc nnv dnngemus du wak known to be present in their submitted samples in concnnrations that may cause immediate harm or serious future health cndnngennem as a result nl brie(.gloved.open air.sampl<hmtdlwg by MAI stall. <br /> Gnndin�losurc incurs an nnmediate S250 sunharge and the client is subject n+full Ieeal lability Gx hams suffered.Thank you forgourundarstanding and for allowing to to work safely. <br /> If met:ds erre raluesterl for water samples and the water type(blatria)is not specified on the chain of atsh+dy,M:xl will default to metals by 1:2110.8. C -is/1-tractpms <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a NIS.tMSD a LCSiL('SD will be prepared in its place and noted in the r Nn. <br /> Relinquished By/Company Name ve Time Received By',Company Name Date Tin. <br /> / 0 <br /> JUJ7, 7" L) <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=4°C 2=HCI 3=H,SO, 4=FINO, 5-NaOH 6=ZnCAClNaOFI 7=None Temp I- °C Initials <br /> Page_of <br /> Page 1 1 of 12 <br />