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General COC MAI Work Order N 1 ql/"L <br /> ® McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Tin,c:I Day Ruff 2 Day Rush 3 Day Rush I STD 0 1 Quote <br /> WO Telephone:(877)252-9262/Fax:(925)252-9269 1.n.g/MDI. LSL I Cleanup Approved I I Dry weight I I Bottle Order N <br /> www.mccampbcll.com main(mmecampbell.com Delivery Forrat: PDF•I I GmTracker EDP I EDD I write On(DW) Detect s,u,un:,,_ <br /> Report To:TAMARA WOODS Bill To:MACY HUMPHREY Analysis Requested <br /> Company:TERRACON CONSULTANTS INC <br /> Email:TAMARA.WOODSQTERRACON.COM M <br /> Alt Email: Tele: 209-712-7159 W <br /> ch <br /> Project Name:SOARES PROPERTY Project#: NA197095 Z a <br /> Project Location:284QftEMON AVE, T CKT N PO# < to <br /> W <br /> Sampler Signature: W t <br /> IF <br /> F <br /> SAMPLE ID Sampling U <br /> Malrj,e I'rescrvativc m <br /> Location/Field Point f}nc Time <br /> Z O <br /> GW-1 jI I I"0 1 GW • <br /> GW-2 13; 2 GW .sit • <br /> TRIP BLANKS 2 <br /> MAI clients MUST disclose any dangerous chemicals known to he present in their submitted samples in concentrations that may cause immedinte harm or serious future health cn&ngemeni as a result of brief gloved open air.sample handling b•\MV smtL <br /> Non-diulosum incursan immediate 5250 surcharge and the client is subject to full legal liability for harm wiTercd.lbank you for yourundersunding and for allowing us to work safely. <br /> •If tnlnls ore requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will defnult to metals by E200.8. Comments/Instructions <br /> Please provide an adctpuate 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 Lite report. <br /> Relinquish B /(7on]Smy Name Dow Time yN� Received By/Company Name 00=0ther <br /> Time <br /> Q <br /> 19 <br /> 1Z2 40 <br /> Matrix Code:DW=Drinking Water,OW-Ground Water,WW=Waste Water,SW=Seawater,S=Sot,S =Air,WP=Wip , <br /> Preservative Code:1=4aC 2=HCI 3=H:SO4 4=HNO, 5=NaOH 6=ZnOAc/NaOH 7 None Temp p aC Initials <br /> t <br /> Page_of <br /> Page 9 <br />