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General COC NIAI Work Order 0 <br /> OO,vMCCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD 1531 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tutsi Amund Timc:I Day Rush 12 Day Rush 3 Day Rush STD 0 Quote M <br /> Telephone:(877)252-9262/Fax:(925)252-9269 )-,lois�Mull. F.91. C'lewmp ApluacCLI Dn \\'eight Bottle Order 11 <br /> \vim/ www.mceampbell.com mainnmeeampbell.com Dclivery Format: I)I)F GcoTracker EDI FDD I Write On(DW) I Detect Summary <br /> Report To:TAMARA WOODS Bill'ho:MACY HUMPHREY Analysis Requested <br /> Con)pany:TERRACON CONSULTANTS INC <br /> O <br /> Email:TAMARA.WOODS@TERRACON.COM <br /> Alt Email: Tele: 209-712-7159 W <br /> ty� <br /> Project Nal11C:BUDDHIST TEMPLE Project fl: NA177056 z � <br /> Project Location:11253 N.T RNTON ROAD,STOCK_TDN PO /f <br /> Q W <br /> Sampler Signature: Z, /77,(L W <br /> r <br /> Sampling Q O <br /> SAMI LE ID = of <br /> Matrix Preservau%e i m <br /> Location/Field Point uale Time - <br /> z I C) <br /> GW-1 5-9-2018 1 GW <br /> GW-2 5-9-2018 A3 2 GW Lff <br /> TRIP BLANKS j 2 <br /> I <br /> MAI clients MI IST disclose any dangerous chemicals known to he present in their submitted samples in concentrations that 111.1}cause immediate harm or serious futme health endangetmem as a result of hrref,gloved,open art,sample handling by MAI stall'. <br /> Nott-disclosme incurs an immediate 5250 surcharge and the chem is subject to full legal liability for hann suffered 'thank)ou I'or your understanding and for allowing us to walk safely <br /> 'II metals arc requested for water samples and the water Igpc(Malrtx)is not specified on the chain ofcuslndy.MAI will default to metals by E-200.8. Comments/Instructions <br /> Please provide an adequate volume ofsample If the volume Is not sufficient fir a MS/MSU a LCIS/LC'SD will be propared in its place and noted in the report <br /> Relinquished By/Company Name Date Time _Received By/Company Name Dale Time <br /> Nlatrix Code: DW=Drinking Water,GW=Ground Water, WW=Waste Water, SW=Seawater, S-Soil,SL=Sludge,A=Air, WI'-Wipe,O=Other <br /> Preservative Code: 1=4°C 2=HCI 3=f-I,SO.t 4=I-IN0; 5=NaOH 6=ZnOAe/NaOI-1 7—None Temp °C Initials <br /> I'agc_of <br /> Pan 10 of I <br />