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McCampbell Analytical, Inc. oft <br />0 <br />O1534 Willow Pass Rd. / Pittsburg, CA 94565-1701 <br />www.mccampbell.com / mainCmccampbell.com <br />Telephone: (877) 252-9262 / Fax: (925) 252-9269 <br />r�9 <br />I CORI <br />I Tele <br />To: Kiersten Hoei, <br />ItGDII <br />5900 Iloltis S(, Suite <br />510 ) 420-3347 <br />#: 11103471 <br />Location: 1930 W. 11Th <br />Bili To: <br />-'A 94608 <br />E -M <br />Fro e <br />Porch <br />SAn1Pt.E ID <br />e <br />Location/ <br />SAMPLING <br />w <br />ase Order# 34004571 <br />Is not specified on the chain of custody, then MAI wfft delauff to metals b E200,8. <br />Relinquished By:_ <br />Field pointe <br />METHOD <br />Receh,ed <br />PRESERVED <br />" <br />� e <br />Nnrne <br />hate <br />Time <br />e <br />9 <br />�t <br />.s <br />e <br />_ <br />ed <br />a <br />. �0 <br />g <br />HEAD SPACE ABSENT <br />SJJL JTC <br />< <br />Relinquished Ry: <br />E <br />Time. <br />Re y: <br />DECHLORINATED IN LAB <br />APPROPRIATE CONTAINERS <br />V_ <br />50 <br />JSjjIN OF CUSTODY RECORD <br />DTrME: RUSIIi I DAN' M 2 DAY Q 3 DAY Q.5DAY U <br />GeoTrneker FDF Q PDF [a EDD 0 Writc On (DW) (3 EQu1S Q 10 DAY [aE Illuent Sample Requiring "J" flag Ej UST Clean Up Fund Project [l; Claim H <br />Analysis Request <br />Ill: Kiersten.hoe hd.conl <br />handling by MAI staff. Non•dhelosure Incurs an Immediate $250 surcharge and the client Is subject to full legal Uablilty for harm suffered. Thank you for your understanding and for allowing us to work safety. <br />h <br />$I <br />ct Name: Chevron 201383 <br />ase Order# 34004571 <br />Is not specified on the chain of custody, then MAI wfft delauff to metals b E200,8. <br />Relinquished By:_ <br />MATRIX <br />METHOD <br />Receh,ed <br />PRESERVED <br />E <br />int <br />� e <br />1,/ <br />OD CONDITION <br />�t <br />.s <br />e <br />_ <br />ed <br />V <br />. �0 <br />g <br />HEAD SPACE ABSENT <br />SJJL JTC <br />< <br />Relinquished Ry: <br />E <br />Time. <br />Re y: <br />DECHLORINATED IN LAB <br />APPROPRIATE CONTAINERS <br />V_ <br />3 <br />PRESERVED IN LAB <br />9 <br />'c g <br />y" <br />7 <br />m <br />p <br />e <br />Relinquhhed By: <br />Dntr: <br />V <br />Received By: <br />VOAS O&G METALS <br />PRESERVATION <br />OTIIER HAZARDOUS: <br />D <br />r a <br />3 <br />o <br />p11<2 <br />+ <br />G <br />�a <br />x <br />m <br />a <br />z <br />A <br />,� <br />x <br />s <br />F <br />F- <br />-MAI clients MUST disclose any dangerous chemicals known lobe present In their submitted samples In concenhaaons that may cause Immediate harm or serious future Month endangerment as a resultof brief, gloved, open ak, sample <br />handling by MAI staff. Non•dhelosure Incurs an Immediate $250 surcharge and the client Is subject to full legal Uablilty for harm suffered. Thank you for your understanding and for allowing us to work safety. <br />e <br />"• If metals are requested for waler sam to and <br />the water tya <br />Is not specified on the chain of custody, then MAI wfft delauff to metals b E200,8. <br />Relinquished By:_ <br />Time: <br />Receh,ed <br />ICE/t° <br />E <br />int <br />ax6 <br />1,/ <br />OD CONDITION <br />�t <br />.s <br />e <br />_ <br />ed <br />V <br />. �0 <br />g <br />HEAD SPACE ABSENT <br />SJJL JTC <br />< <br />Relinquished Ry: <br />E <br />Time. <br />Re y: <br />DECHLORINATED IN LAB <br />APPROPRIATE CONTAINERS <br />V_ <br />PRESERVED IN LAB <br />9 <br />m <br />`> <br />Relinquhhed By: <br />Dntr: <br />Time: <br />Received By: <br />VOAS O&G METALS <br />PRESERVATION <br />OTIIER HAZARDOUS: <br />D <br />p11<2 <br />+ <br />G <br />�a <br />m <br />a <br />z <br />A <br />a3 <br />v$ <br />a <br />� <br />ac <br />ee <br />rn <br />v <br />y <br />rry,, <br />00 <br />.lam• <br />kn <br />iL <br />N <br />N1 <br />a <br />e <br />.� <br />a <br />a <br />.� <br />a <br />.. <br />a <br />a <br />r>+ <br />a <br />s <br />7 <br />A <br />f. <br />m <br />ss: <br />� <br />w <br />est <br />rst <br />w <br />V <br />.7 <br />s <br />F <br />F- <br />-MAI clients MUST disclose any dangerous chemicals known lobe present In their submitted samples In concenhaaons that may cause Immediate harm or serious future Month endangerment as a resultof brief, gloved, open ak, sample <br />handling by MAI staff. Non•dhelosure Incurs an Immediate $250 surcharge and the client Is subject to full legal Uablilty for harm suffered. Thank you for your understanding and for allowing us to work safety. <br />"• If metals are requested for waler sam to and <br />the water tya <br />Is not specified on the chain of custody, then MAI wfft delauff to metals b E200,8. <br />Relinquished By:_ <br />Time: <br />Receh,ed <br />ICE/t° <br />COMMENTS:y <br />ax6 <br />1,/ <br />OD CONDITION <br />�t <br />i q)C Z <br />. �0 <br />HEAD SPACE ABSENT <br />SJJL JTC <br />Relinquished Ry: <br />Dnie: <br />Time. <br />Re y: <br />DECHLORINATED IN LAB <br />APPROPRIATE CONTAINERS <br />PRESERVED IN LAB <br />Relinquhhed By: <br />Dntr: <br />Time: <br />Received By: <br />VOAS O&G METALS <br />PRESERVATION <br />OTIIER HAZARDOUS: <br />b <br />p11<2 <br />Page 15 of 17 <br />