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O McCampbell Analytical, Inc.AIN <br />(us <br />OF CUSTODY RECORD <br />"14DTIME: <br />1534 Willow Pass Rd. /Pittsburg, CA 94565-1701 <br />RI isl l�q [g'I DAN' 2 [)AN' El 3 DAN' [J 5 DAY <br />www.mccampbell.corn / maincwmccampbell.com �'", <br />OeoI'rackci FDF [l I'I)r ( 1:1)1) (D write On (DW) Q I:Quls to DAY <br />`1 <br />Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />9 <br />I?Mileilt Slunple Requiring ".I" nag 0 11ST Clean lip Fund I'roject Q; Claim!! <br />Report To: Kiersten lloey Bill To: GRID —Kiersten Ioey <br />Analysis <br />Ret. <br />nest <br />Company: GD1I_ <br />5900 Mollis St, Suite A, Emeryville, CA 94608 <br />Tele 510 420-3347 E -Mail: Kiersleu.hoe n hd.com <br />^ <br />J <br />Project #: 11103471 Prulecl Name: Chevron 201383 <br />_ <br />v <br />V <br />E <br />`� <br />Project Location: 1930 W. 11Th Sl,'1'racy, CA Purchase 0We0 3400457 ( <br />Sampler SI nature: -------=� <br />0 <br />''1 <br />V <br />ic <br />9 <br />a <br />a <br />5 <br />o <br />c <br />E <br />L <br />SAl\1PLINC' <br />R1A'1'RIX <br />PRESERVED <br />C <br />.^. <br />� <br />V <br />r <br />wf <br />oe <br />x <br />M <br />r. <br />�r <br />_r <br />o <br />S,' <br />�• <br />a <br />11) <br />Location/ <br />v <br />sxx <br />E <br />ESAMPLE <br />n <br />^ <br />n <br />N <br />N <br />— <br />I <br />E <br />c <br />^ <br />f <br />I ield Pointe <br />L <br />r <br />= <br />_ <br />x <br />x <br />'Q <br />v <br />n <br />' <br />C <br />[Name <br />Date <br />Time <br />+' <br />7 <br />3 <br />n <br />"i <br />n <br />'0 <br />o 'r. <br />x <br />U <br />3t <br />C7 <br />e <br />5 <br />A <br />n <br />X <br />rii <br />e <br />yr <br />O <br />W <br />W <br />W <br />W <br />o-.: <br />m <br />W <br />44 <br />U <br />--lit <br />F1±L_ <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 re4b.v.d. open a le <br />handling by MAI staff. Non -disclosure Inr.urs an Immediate $250 surcharge and the client Is subject to full legal liability for harm sulfered. Thank you for your understanding and farallowing us to work s. <br />"• It metals are requested lot water sem le and 1110 water type Is 1101 Specified on the chain of custody, then MAI will default to metals by E200.8. <br />Relingnistresll)y: <br />Date <br />Time: <br />Iteceiced�,, <br />ICE/01) CONDI'l ION 1" C'OPiMF;N'i;S: O <br />/ 16 <br />�0 <br />IIF. I) SI'A('1, ABSENT �� 1' ( �C V �� � es <br />DE.CI11,011INA'1 ED IN LAB 111 v"^� <br />APPROPRIATE,CON'1•AINFRS _ r�� <br />Relinquished Bv: <br />DFite: <br />'Time: <br />Re h': <br />PRESE.RVFD IN LAB V <br />C W <br />Relinquished Bi: <br />[)Fite: <br />Time: <br />Received By: <br />'OAS 0&C 3111 AhS 01IIF12 IIAl.ARDOUS: <br />I'llESFR3'ATION p11<2 J� b <br />40 <br />a <br />Page 15 of 17 <br />