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General COC MAI Work Order# l C ��7 <br /> O McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1 70 1 Tum Around Time:I Day Rush 2 Day Rush 3 Day Rush I STU 0 Quote'"' <br /> �O Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag/MI)L ESL Cleanup Approved Dry weight Bottle Order# <br /> www.mccampbell.com main(a)mccalTbell.com Delivery FonmaC PDF I G.Tracker EDP EUD Write On(1)1V) Detect Summary <br /> Report To: Daniel Kramer Bill To: Daniel Kramer Analysis Requested <br /> Company: PETRALOGIX ENGINEERING,INC. <br /> Email:dkramer@petralogix.com <br /> Alt Eiiiail:tscheffner@petralogix.com Tele: 209-400-5729 _ <br /> Project Naine: Mann Road NLS/SSS <br /> Project#: 2019-00095 <br /> Project Location: 21300 Mann Road,Acampo PO# OM N <br /> Sampler Signature: W W <br /> SAMPLE ID Sampling m U <br /> Matrix Preservative <br /> Location/Field Point O m <br /> Date Time u z 0 <br /> -i <br /> omestic Well J2/-; 7 /q :��� 3 GW <br /> Trip Blank 2 <br /> h1A1 clients MUST disclose an don+er us chemicals known to be present in their submitted samples in concentrations that may cause it a uc harm serious future health cndnn+crnicnt ns n result of brief,gloved,open air,sample handling h MAI sniff. <br /> Y 5 4 P I Y 6 P I 6 y <br /> Non-disclosure incurs an immediate S250 surcharge and the client is subject to full Iceal liability for hams suRercd.Thank you fur}nu under ending, td 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 wi def: tlt to reef is by E200.8. Comments r'Instntctions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for it MS/MSD a LCS/LCSD will be pre at d'n its lace at ore in the report. <br /> Relinquished By/Company Name Date Time ted y/Con an Name gate Time <br /> l� Z7 C11 , SU —4 <br /> Z7 <br /> Matrix Code: DW=Drinking Water,GW=Ground Water, WW=Waste Water. SW=Seawater, - il, SL=Sludge, A=Air, WP=Wipe,O=Other � <br /> Preservative Code: I=4°C 2=HCl 3=H,S0,t 4=1-IN0; 5=NaOH 6=Zn0Ae/Na0H 7=None Temp °C Initials 1 <br /> Page 16-e€1 I <br />