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I 'to 3� <br /> ® McCampbell Analytical, Inc. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd./Pittsburg,Co.94565-1701 TURN AROUND TLME:RUSH 2a LK 1O 1IR Q18IIR Q 72ltR[15 DAY DAY [] <br /> WWW,mccampbell.cortl/ main@mccompbell.com <br /> Telephone: )877) 252-9262/Fax: {925) 252-9269 eeorrackereor•Q POPS r_UD[j wneo (owr)Q L¢IS[ <br /> ElTtnent Sample Requiring".i"Rag Q, UST Clean Up Pond Project D:Claim M <br /> Repo 5W t 53e r Bill T . e, Y Analysis Reatiest <br /> Com n :a <br /> C7x dry Y 2 r � <br /> r Entail: sser 5 e d,tc o °k = <br /> Tele: a. -3'f3 Fax: d t _ _ �'+ A a 5 <br /> Pro ect p: L-vi t bial I Project <br /> Pro.ect Location: Lod;. fA Purchase Ortler+! <br /> Sam ler St mature: I <br /> SAMPLING M1i:\TRI\ NETIIOD ' a « C <br /> �1 <br /> i <br /> SAMPLE ID Lorstion/Fie <br /> i <br /> kl Puln +f 3 _ L <br /> Name Date Time v = > o ,a — - ? a m ^ c — 7 «_ E <br /> o _ s % w 3 y, t <br /> a: L = 'y tQ h � 4 m y <br /> $I - i 3 2P 2'-`SIS X <br /> &ICSI -11J <br /> lP t !0 X <br /> jFutwx --I— <br /> tk d - 1s- 9C <br /> 6le(,a -TT- z ?s <br /> 9 e 3: I i X <br /> 6 -T 17) <br /> • MAI diems MUST dlsetase any daugerona chemicals known to be Present In their submnted wmpfes in mvrontrnBnns that may-m+se tmmMMte harm nr urtnva fotnre hrnbh endangerm"t as a result of hrief, <br /> 910vM.open air,sample handling by MAI slag.Non-disclosure lncom an Immediate$2.40 varcharge and the client h subiec full trgol liability for hami%Orrmd. Thank you for your andersmnding sod foridloMag <br /> us to work sofrly. <br /> Rdingekhrd ey: Dale: Time: R ICFJr COMMENTS: <br /> <y L otY GUOD CONDITION ,\ <br /> HEAD SPACE ABSENT <br /> R,HrRIOahe 91);^ ! tr TI of Ry: DECHLORINATED IN LAB <br /> ��. :! 4 /1/ APPROPRIATE CONTAINERS - jr it (0 'NQIl U At,ti(r-St/1 <br /> r.s/ \, ' ,/' ` PRESERVED IN tAB_ <br /> RelinquisheA By; f Dara Tim . eRM Ru: VOAS O&G MI:1%LS 0711E11t ILA2.t RItUUSt ��' ( t7 <br /> PRESERVATION— <br /> Page77 of 79 <br />