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McCAMPBELL ANALYTICAL, INC. CRAIN OF CUSTODY RECORD <br /> U534 WILLONNA'ASSROAD TURN AROUND TIME [a Q U, Q Q <br /> !"Iri'S 3m,(RC.,CA 945—A5 m7ol <br /> Website. + vra.c�tc°;ger tolaeiE.+;�rFr Entail;main�rnccam bv1l.ceanp '/ I lt�sE# ."#HR t3 Eil r 1-IR "> <br /> Telephone:(877)252-9262 Fax:( 25)252-9269 GeoTracker EDF PDF N Excel ¢_ Write On ) <br /> Check if samn le is effluent and"J" nag is required <br /> Report To:LUIS CADENA Bill To: Same Analysis Request Other -Comments <br /> Company: Stockton Rubber Mfg.Co.,Inc. � **Indicate <br /> 23 N.Flood Rd. �_ � , here if these <br /> Linden,CA 95236 E-Mail:luis.c*sto ktonrubber.1com I _ € � samples are <br /> Tele: 209` 887-tt72 . Fax- (209)897-N82 Z � � � potentially <br /> •, <br /> Prm�`eet p� I I075 Alflll3 P rti ect Name: <br /> Pre-polymer dangerous tat <br /> o handle: <br /> I're ect L tion: I.intlen,CA Residue Determination ', S a <br /> TM1IEII{lfd <br /> ao i <br /> r�i'sIPL.IN <br /> MATRIX Pit�3l kt4'�l) � � � - � � = � e ti [ <br /> W5 <br /> SAMPLE ID <br /> Field Point A k <br /> Name hate Time L L to 9 s <br /> U <br /> e a s <br /> A1llCllt 2- ktAfs SItC"- &56,112 10 am I <br /> Sample is <br /> Solidified <br /> Linden,CA prcp€rl}aner <br /> inityurethanc <br /> residue of empty <br /> cans&is <br /> " <br /> potentially <br /> dasrolercxa�tz� <br /> handle- <br /> If aaardous <br /> 2,4-Toluene <br /> Diisocyanatc <br /> �4 <br /> ACt- <br /> 3 <br /> n Y! <br /> "hlAl clients MUST disclose any dangerous cheamicals known to be present in their submitted samples in concentrations that may cause immediate harm or serous future health endangerment aas a result of brief, <br /> gloved,rapers air,sample handling by MAI staff.Non-disclosure incurs an imatriliate 52511 sarelrssr a and the client is subject tai full Irgal liability for harm suffered. Thankyou for your understanding and for <br /> allowing mss to work safety. <br /> Itch quisbed Bar: Date: Timne: Rcccived By: 1C'EJt` COMMENTS: <br /> r GOOD CONDITION <br /> HEAD SPACE ABSENT ' <br /> Relinquished By: WD, <br /> : 'Time. R DECHLORINATED 1N LAB <br /> ry gp ,�,�+� r ,. APPROPRIATE CONTAINERS �!_ <br /> o r PRESERVED IN LAI# I..P't Via. <br /> Relinquished By: : [sane° Rcccivcd Byt <br /> S'OA5 C1&G bl€7'AC,S Cml°IIEIk <br /> PRUSERVATION pl4<2 <br /> Page 2 of 5 <br />