Laserfiche WebLink
General COC MAI Work Order# <br /> 7 McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 12 Day Rush 3 Day Rush STD Quote# <br /> �O Telephone:(877)252-9262/Fax:(925)252-9269 J-Flag/MDL ESL Cleanup Approvcd Dry Weight I Bottle Order# <br /> www.mccampbell.com mainta'-,mecampbell.com Delivery Format: IPDFJ GcoTracker EDFJ EDDI I Writc0n(DW)l I Detect Summary <br /> Report To: U&r#w4k Bill To: Analysis Requested <br /> Company: m o q <br /> F .a e o <br /> Address: S f� p 3 3 3 0 " E <br /> — — v v z <br /> Email: le: W 00 0 a ;, ° <br /> Project NamProject#: d ` c O <br /> Name- x o <br /> 3 j <br /> Project Location: PO# " + + 3 9 t o <br /> Sampler Signature: _ ? a <br /> E. <br /> a1000m <br /> SAMPLE ID Sampling _ F " <br /> Matrix Preservative oC o A V A c� O ti w N tA <br /> m = h o = <br /> Location/Field Point w x _ x a a a a a <br /> Date Time U F a = a - o - o a 0. 0. a a a o m <br /> � O co in Fin Fin <br /> MAI clients MUST disclose any 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,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 for your understanding and 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,MAI will default to metals by E200.8. Comments/Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its place and noted in the report. Qom/.�p�otyt iia <br /> Relinquished By/Company Name Date Time eceived By/ a?y Name Date Time �yp�ary Cv�s{JlCrsw✓�'✓ <br /> NYO <br /> Matrix Code: DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater, S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=4°C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp Initials <br /> PaaPage Oof 31 <br />