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1Y-0 60"5 <br /> ©� McCampbell Analytical, Inc. CHAIN OF CUSTODY RECORD <br /> � <br /> 1534 Willow Pass Rd./Pittsburg,Ca.94565-1701 TURN AROUND TIME:RUsiiQ 24HQ1 <br /> R48 HR Q72 MR pis DAY Lilo DAY a <br /> www.mccompbell.com/ main@mccampbell.com GeoTmcker EDFO, PDF❑ EDDQ Write On(DW)[a EQulSQi <br /> Telephone: (877) 252-9262/Fax: (925) 252-9269 <br /> Effluent Sample Requiring"J"Hag01 UST Clean Up Fund Project Dj;Claim# <br /> Re ortTo• i(' SSe r Bill T . e; ^ S <br /> Analysis Re uest <br /> Company: a]vY ' a 4 w <br /> �Gzet drm ki <br /> Y 2 E-Mail• ess4r ' e rt d.cd <br /> r Sp ryO C N � C <br /> N V1 '� CE V V n �- FNlil <br /> Fax: rrf U e 9 'fief <br /> Proect#: LLq)qQgd Pro'ect Name: LIA 11W'111N V e a a e m W y <br /> Purchase Order# zr :a <br /> Project Location: h ( j a S < '* o ' 0 o- s eZZ <br /> Sam IerSi nature: MATRIX METHOD x V 'n G a <br /> $AMPLDVGPRESERVED <br /> z <br /> o a. r G g a <br /> Location/ m d ,. m 77 d a W <br /> SAMPLE ID Field Poin a m S e <br /> Name Date Time .p '; e a y °y w y` a w h y n n m a d J <br /> U <br /> at e7 3 D m m y O x S $ m F f- F• w �i w w W w °ed U .+ <br /> QI - 1 3 2F Z'-SS X <br /> 61C's1 -1i �J X <br /> lP` CID X <br /> e - k <br /> Sl e o'`n'- �C <br /> e '`2 5 x <br /> 8e o 3 <br /> --MAI clients MUST disclose any dangerous chemicals known to be present in their submitted simples in concentrations that may cause immediate harm or serious futurehealth endangerment as a remit of brief, <br /> gloved,open air,sample handling by MAI staff.Non-disclosure incurs an immediate$250 surcharge and the client is subjecfull legal liability for harm suffered. Think you for your understanding and for allowing <br /> us to work safely. COMMENTS: <br /> Relinquished By: Date: Time: Ree ' d ICFJC .1 <br /> -)(4 �;Kf GOOD CONDITION_ ,5�nd 1r0 SJ <br /> HEAD SPACE ABSENT_ '0' <br /> Relinquila <br /> te: Tim-g: ei c By: DECHLORINATED IN LAB - (y, l ll d SNP!16 An sst�S(n <br /> /hJ APPROPRIATE,CONTAINERS_ �oc f 4fs <br /> PRESERVED IN LAB / <br /> Relinquished By: Date: Tim . weld By: VOAS O&G METALS OTHER HAZARDOUS: �� <br /> - PRESERVATION ptI<2 <br />