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General COC MAI Work Order# <br /> MCCAMPBELL ANALYTICAL, INC, <br /> CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:l Day Rush 2 Day Rush 1 3 Day Rush STD • 1 Quote# 202905 <br /> Telephone:(877)252-9262/Fax:(925)252-9269 !-Flag 1 MDL I I ESL Cleanup Approved Dry Weight Bottic Order# <br /> www.niccampbell.com rnain@mccampbell.com Delivery Fortuat: PDF • G.TrackerEDF EBD • Write On(DW) Detect Summary <br /> Report To:Victoria A.Golston Bill To: Kleinfelder AP Analysis Requested <br /> Company:Kleinfelder, Inc.(KFH) <br /> Email:VGolston@kleinfelder.com <br /> Alt Email:Jzilles@kleintelder,com Tele: 405-426-2596 <br /> Project Name:Costco Tracy Hansen Trailer Yard NL SS Project#: .2e4ee492,ee+a- U E <br /> O <br /> Project Location:Tracy,San Joaquin County,California U ZaZ006 30,06_Ip, .- N E <br /> E Y <br /> Sampler Signature: b?_-Oon 0o Q <br /> cr) t- <br /> Sampling Z r N d <br /> SAMPLE ID o <br /> 9 Matrix Preservative to <br /> T U <br /> Location/Field Point Date Time "- o m m <br /> z <br /> 26909 hansen_WaterWell SO 2 M l Q 6 GW various 0 0 0 <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 ruture health endangerment as a result uf'brief,gloved,open air,sample handling by MAI staff. <br /> 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 /> * If metals are requested for water 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 LCSILCSD will be prepared in its place and noted in the report. Eq u I S E D D requested <br /> Relinquished By/Company[dame Date Time Receivd By!Company Name Date Time <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,WW=Waste Water, SW=Seawater, S=Soil, SL=Sludge,A=Air, WP—Wipe,O=Other <br /> Preservative Code: 1=4"C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp �L,�JIQ Initials <br /> Pogue p6-ef47 <br />