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\ (./) 0 ( I S4 <br />MCCarn:pbeil Analytical, Inc. <br />CHAIN OF CUSTODY RECORD <br />O0 <br />1534 Willow Pass Rd. /Pittsburg, CA 94565-1701 Pa <br />O <br />TIME: RUSH I DAY 2 DAY 3 <br />� � [,� DAY [a 5 DAY [� <br />y <br />www.mccompbell.com / main@mccampbell.com <br />� <br />�' e D#Q PDF Q EDD Q Writc On (DW) Q EQuIS 10 DAY <br />(877) 252-92.62 / Fax: (925) 252-9269 <br />EMtient SnnTple Requiring ",j" fltlg(D 11S't' Clenn Up Funti Project Q; Clninl N <br />Reporl To: Werslen lJoey Bill To: CMD —Kiersten Hoey <br />�_� <br />unl <br />sis Req uest <br />Coluhnny: GAl1 <br />� <br />5900 Hollis Sl, Suite A, Etnet-yville, CA 94608 <br />a <br />`^ <br />_ <br />o <br />a <br />" <br />n <br />d <br />v <br />e <br />2 <br />9 <br />9 <br />c <br />o <br />a <br />e <br />0 <br />,� <br />>. <br />4 <br />Tele: ( 510 ) 420-3347E-Mnil: Kiersten.hoe hd.conl <br />Project #: 11103471 Project Nnme: Chevron 201383 <br />Project Location: 1930 W. 11`" Sl Trnc CA Purchnse Orderti 34004571zN <br />Sntn)ler Si nnturc: `�- <br />SAMPLING <br />MATRIX <br />rRESERVED <br />a <br />V <br />y <br />a <br />SAMPLE 11) <br />L41cnlimd <br />Field 1'411111 <br />12 <br />� <br />A <br />o <br />8 <br />C <br />m <br />H <br />7 <br />�r <br />8 <br />^1 <br />.- <br />M <br />W <br />W <br />N <br />rn <br />N <br />d <br />Nnme <br />Dnte <br />Time <br />+h <br />9 <br />3 <br />°" <br />'•' <br />o <br />- <br />^I <br />"r <br />o <br />- <br />5 <br />$ <br />q <br />< <br />L^ <br />UA <br />•L <br />a <br />r <br />� <br />o <br />ee <br />V <br />cz <br />e <br />w <br />m <br />S <br />� <br />¢ <br />Z <br />4 <br />e, <br />d <br />� <br />5 <br />� <br />Y <br />.01 <br />Q <br />^. <br />in <br />O <br />x <br />x <br />O1 <br />h <br />[-' <br />1 <br />w <br />w <br />w <br />w <br />u <br />a <br />i <br />.9 <br />X <br />�t <br />k <br />(/L— <br />'•MAI Nlanls MUST disclose any dangerous chemicals known to be present In their submitted samples In concentraffons that may cause Immediate harm or serious future health endangerment as a result of inlet, gloved. open air, sample <br />handling by MAI stall. Non•dhetosum Incun an bnmedlate $250 surcharge and the client is subject to fun legal liability for harm suffered. Thank you for your understanding and for allowing us fo wonk solely. <br />It metals are requested for water nam le d Ilse water t e Is not specified on Itis chain of custody, then MAI wql default to metals by E200.8. <br />Relingnisbed Dyp.._..--- <br />"nle: <br />Time: <br />Received 11y; <br />ICFlt° COMMENTS: <br />/d so <br />+",, '� <br />GOOD CONDITION <br />-LA <br />�, +� <br />IIEAD SPACE ABSENT <br />DF.CIILORINATED IN LAB <br />Relinquished Fly -D <br />Ir. <br />Time: <br />Receis" <br />APPROPRIATE CONTAINERS <br />PRESERVED IN LAB <br />VOAS O&C METALS OTHER HAZARDOUS: <br />Retinc11115hed 1Ty: <br />Dnfe: <br />Time: <br />Received Oy: <br />PRESERVATION pl•11<2 <br />0 <br />Page 13 of 14 <br />