Laserfiche WebLink
General COC MA( Work Order# <br /> McCAMPSELL A C. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.P Turn Around Time:I Day Rush 2 Day Rush ?Day Rush S'17) Quote# <br /> Telephone:(877)252-9� /Fax:{925)252-9269 d-Flag/MDL E5L Cleanup Appy cd Ury weight Bottle Order# <br /> V llctcct Summa <br /> t4vYu.mecan)pbell.com main(iumecampbell.com Delivery Formal: PDF Cicoltacker VU) EDD Write()n(ll1 ) R <br /> Report To: r Bill To: Analysis Requested <br /> Company: x,4 A- o -5 <br /> Address: jV ✓ <br /> Email: Tele: C a <br /> Project Name: � Project#: _ r ' = ? <br /> Project Location: ' PO# = + w -' -• x U a x N a <br /> E a c ;x <br /> • <br /> Sampler Signa �% - d a <br /> C <br /> Sampling o w <br /> SAMPLE 1 <br /> Matrix Preservative a x R �% C <br /> jm [Location Field Point -it { n1ine w v Date �+ <br /> _ <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 endangenuent as a result of brief,gloved,open air.sample handling by MAI staff. <br /> Non-disclosure incurs an immediate 5250 surchargr and the client is subject to tidl legal t ahility for hams suffered,Iltank}row fur your u idittg and fnr allowing us to work safely, <br /> * Comments,'Instructions <br /> If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will efault o metal by E240.8. <br /> Please provide an adequate volume or sample.If the volume is not sufficient for a NlS/MSD a LCS/LCSD will be preparc4 in it place a noted in the report. <br /> Relinquished lay!Com any NameDate Time d By/C an a Date Time <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: 14°C 2=HCl 3=H,SOa 4=HN0; 5=NaOH 6=ZnOAc1NaOH 7=None Temp °C Initials <br /> No la <br /> P"fage 11 of 1 <br />