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General COC — MAI Work Order# -yp 33L4q <br /> ® McCAMPBELL ANALYT <br /> 1CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1 70 1 Tum Amund Time:l Day Rush 2 Day Rush 3 Day Rush STD Quote# <br /> 3 &Telephone:(877)252-9262/Fax:(925)252-9269 f-n,ig r MDL ESL Cleanup Approved Dry Wcight Bottle Order# <br /> www.mccampbell.com mainmccampbell.com Delivery Format: PDF G.Trackcr EDF EDD Write On(DW) Deleel SWnmarY <br /> Report To:TAMARA WOODS Bill To:MACY HUMPHREY Analysis Requested <br /> Company:TERRACON CONSULTANTS INC <br /> Email:TAMARA.WOODS@TERRACON.COM <br /> Alt Email: Tele: 209-712-7159 W <br /> M <br /> Project Name:SOARES PROPERTY Project#: NA197095 Z qi <br /> Project Location:2848 LEMONAV STOCKTON PO# U') <br /> Sampler Signature: lL <br /> W <br /> SAMPLE ID Sampling < IL <br /> Matnx Preservative <br /> Location/Field Point Date Time F m <br /> Z D <br /> GW-1 fir) ();O� M 1 DW • <br /> GW-2 2 DW �.eoaa r e • <br /> TRIP BLANKS 2 <br /> GW-3 1 DW • <br /> GW-4 5 1A ItIRM 2 DW mea aM.g r,e • <br /> TRIP BLANKS 2 <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or scrious future health endangerment as a result of brief.glovLd,open air,sample handling by AIAI st <br /> Nondisclosure incurs an immediate 5250 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 request<d 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 LCS/LCSD will he prepared in its place and noted in the report. 1 DAY RUSH TAT <br /> Relinquished By/Company Name Dale Time Received By/Company Name Date Time <br /> 2 -r 31 <br /> Z� I <br /> 2c� 7- <br /> Wo �► (U <br /> Matrix Code:DW=Drinldng Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=So' 1 e,A=Air,WP=Wipe,O=Other <br /> Preservative Code: I=4°C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp Initials <br /> Pag%p Q6 <br />