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0 McCampbell Analytical, Inc. CHAIN OF CUSTODY RECORD <br /> v O 1534 Willow Pass Rd./ Pittsburg, Ca.94565-1701 TURN AROUND TIME: RUSH�] 1 DAY❑ 2 DAY[a 3 DAY ❑ 5 DAY www.mccampbell.com/ main@mccampbell.com GeoTracker EDF[ PDF U EDD Write 0n(DW)[a EQuIS U 10 DAY <br /> Telephone: (877) 252-9262/Fax: (925) 252-9269 <br /> ,{ 1 ^ Effluent Sample 12equiring"J"Ilag[.a •UST Clean Up Fund Project[D;Claim ate= <br /> Report To:•Lte Bill To: Cv-c t %r;,,Jx� I L Analysis Request <br /> Ctim an : ' u%' %Az CiiVw rw.[v.� 1 rC;� iiE�b _ <br /> '7Jc. GA *?5'.1-%1 E-NIaiL•�vrr:l2,r�.vtr�n�•fr, �F'c t^a-.I, = <br /> o � o <br /> Tele: ('70_7 )$a�•t-t(;,"� Fax: e- $)K—J(c7S v =� <br /> Project#: QY. i Project Name: SMTirc. U M aoA 10 <br /> o a <br /> a" <br /> Peo•ect Location: Purchase Order# 'Zc?4,o( a z2 R Q <br /> — — — 2 <br /> Sampler Signature ---- i o z o <br /> MATRIXMETHOD �, <br /> PRESERVED x �_ � " ` z � <br /> SAMP � � o e o � 14 <br /> o <br /> 4 v <br /> U v Q F z o~o <br /> Locations = w _ <br /> SAMPLE ID <br /> Field Point <br /> Name Dat <br /> c Time <br /> O r own �. m 06 <br /> d u W <br /> U '= Fw- cz, o o a i oL. r <br /> 7t U 5 D ti ti %< n O x S O m E- F f- w w w w m w w w U -4 w <br /> - - <br /> o <br /> -5 ' la- ( X —�- - --- -------- -- <br /> TFFF <br /> F1 L. . <br /> **MAI clients MUST disclose uny dangerous chemicals known to be present In their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief, <br /> gloved,open air,sample handling by MAI stuff.Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered. Thank you for your understanding and for allowing <br /> us to work safely. <br /> Relint;jtished 11.0 Date: 'Time: Re a ICE/t° COMMENTS: <br /> �--+� 1j - I (0—i I•�� <br /> O <br /> IlFAD SPACE ABSENT <br /> elinquished By: Date: Time: Received By: DECHLORINATED IN LAB <br /> All PRO PRI ATE CONTAINERS <br /> PRESERVED IN LAB <br /> Relinquished By: Date: Time: Received By: VOAS O&G METALS OTHER HAZARDOUS: <br /> PRF.SERVATION pH<2 <br /> Page 32 of 33 <br />