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General COC MAI Work Order <br /> 6 McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Time:I Day Rush 2 Day Rush 3 Day Rush I STI)l I Quote# <br /> Telephone:(877)252-9262/Fax.(925)252-9269 1-Flag/MDL ESL I Cleanup Approved I I Bottle Order# <br /> www.mecampbell.com main@mccLqmpbell.com Delivery Format: I PDFJ GeoTracker EDF IEDDI Write On(DW) I EQuIS <br /> Report To:Pat Flores Bill To:Safety-Kleen Salida Analysis Requested <br /> Company:Safety-Kleen <br /> Email:patrick.flores@safety-kieen.com v _ 3 3 c E 9z E <br /> Alt Email: Tele: m <br /> Project Name:SW METALS Project#:SW10590 <br /> Project Location: PO# + + 3 " r/�r, <br /> w ^ T 00W W W e N E <br /> Sampler Signature: 5 e Q <br /> Sampling v Vi I. Y L V S <br /> SAMPLE ID a is d — <br /> Matrix llre�cr�ative m e m (� C C7 c.. 4 y b n V. <br /> Location/Field Point m E <br /> Date Time U h A. - w <br /> " m F3 by h i hU hi W W W W is7 tJ c m .� ti <br /> SW METALS 9 S • <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may ca mediate or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank you fo your u derstand g rid for allowing us to work safely. <br /> *If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,M will d fault to etals by E200.8. Comments I Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MSIMSD a LCSILCSD will b d iy6ts pla d noted the report. STLC/TCLP AS NEEDED <br /> Relinquished By/Company Name Date Time cei ed By/ qmp ame <br /> —46 <br /> �. 0 / C9— <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater, — oil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=HCI 3=H2SO4 4=HNO� 5=NaOH 6=,ZnOAc/NaOH 7=None Temp °C Initials <br /> Page of <br /> age 9 on0 <br />