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(1barron )Ilt4'zwaslel'C11i0yai.0011ir:! &..(1Llhazwasm-Cn1oval.cain alolalloLa)haZwastereinoyil.Coni pfrernouw@11azwasieleinoyal.coin <br />/� McCAMPBELL ANALYTICAL INC. <br />v 1534 WILLOW PASS ROAD rj7TURN <br />PITTSBURG,, CA 94565-1701 SCJ <br />Website: www.inceamnbell.com Email: main@mc mpbell.com <br />Telephone: (877) 252-9262 Fax: (925) 252-9259 <br />CHAIN OF CUSTODY RECORD <br />AROUND TIME ❑ ❑ ❑ ❑ ■ <br />RUSH 24 HR 48 HR 72 HR 5 DAY <br />GeoTracker EDF ❑ PDF ❑ Excel ❑ Write On {DW) ❑ <br />❑ Check if sample is effluent and "J" flag is required <br />Report To: Bill To: Fremouw Environmental Svs <br />Analysis Request <br />Other <br />Comments <br />Company: Fremouw Environmental Services, Inc. <br />F <br />s7 <br />+ <br />0 <br />as <br />ax. <br />N <br />ea <br />c <br />Al <br />c <br />E <br />F <br />? <br />a <br />a <br />F <br />$ <br />a <br />_ <br />m <br />tri <br />Q <br />Nz <br />w <br />x <br />r <br />'^ <br />a <br />U <br />' <br />w <br />6 <br />7• <br />c <br />m <br />a <br />w <br />7 <br />6 <br />m <br />A <br />x <br />u° <br />w <br />U <br />N <br />w <br />� <br />© <br />N <br />w <br />v <br />a <br />O <br />w <br />a <br />$ <br />oe <br />t <br />U <br />$ <br />$ <br />ep <br />a <br />,� <br />8 <br />m <br />Samples <br />Metals <br />analysis: <br />Yes / No <br />6940 Tremont Road, Dixon, CA 95620 <br />E-Mail:for <br />Tele: ( 707 ) 448-3700 Fax: ( 707 ) 448-3499 <br />Project #: TBD Project Name: Pick N Pull l Stockton <br />Project Location: 3927 Clark Drive., Stockton CA 95205 <br />Sampler Si ature; Rob Boal <br />SAMPLE ID <br />LOCATION/ <br />Field Point <br />Name <br />SAMPLING <br />C <br />o36 <br />C <br />a <br />H <br />MATRIX <br />METHOD <br />PRESERVED <br />Date <br />Time <br />PNPS-01 <br />:1927 Clark Dr <br />1215118 <br />1 <br />P <br />X1 <br />k <br />X <br />X <br />PNPS-01 <br />:1927 Clark Dr <br />12/5119 <br />2 <br />voa <br />X <br />Y X <br />I <br />X <br />PNPS-01 <br />3927 Clark Dr <br />12/5119 <br />2 <br />voa <br />X <br />Y <br />X <br />11INPS-01 <br />3927 Clark Dr <br />1215118 <br />1 <br />P <br />X <br />X <br />X <br />linquish By: <br />Date: <br />Time: <br />Re y: <br />7 <br />COMMENTS: <br />GOOD TION - <br />HEAD SPACEEIABSENT <br />DECHLORINATED IN LAB _, <br />APPROPRIATE CONTAINERS <br />PRESERVED IN LAB <br />VOAS O&G METALIS OTHER <br />R li quish <br />Date: <br />Time:Ite <br />j�yo <br />'ved <br />yL <br />Relinquished By: <br />Date: <br />Time: <br />Recei d By: <br />PRESERVATION H<2 <br />Page 16 of 17 <br />