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General COC MAI Work Order?? <br /> O McCAMPBELL ANALYTICAL, INC. <br /> CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd, Pittsburg,Ca,9,1561-17111 l'um Around"I"imc:I Uay Kush 2 Day Rush 3 Day Rush S fD t♦ Quote (, <br /> �O Telephone:(877)252-9262/Fax:(925)252-9269 J-slag i nlin. I:SI. Cleanup Approved Dry Weight Bottle Order# <br /> www,rnecampbell.com nwin a mcc tm)bf ell.c ni Delivm'Format 1111)1'1GcoT.cker EDI EDDI I Wrile On(DW)l I Detect SurnmarN <br /> Report To:TAMARA WOODS Bill To: MACY HUMPHREY Analysis Requested <br /> Company:TERRACON CONSULTANTS INC <br /> Email:TAMARA.WOODS@TERRACON.COM O <br /> M <br /> Alt Email: Tele: 209-712-7159 w <br /> M <br /> Project Name:Pickens Property Project 4: NA207032 Z ",I- <br /> Pro Location:32851 S. Chrisman Road, Trac PO# CO N <br /> • Q u7 <br /> Sampler Signature: w W <br /> SAMPLE .— Sampling < U <br /> Location/Field Point Matrix Preservative CQ <br /> Date I imc Z 0 <br /> GW-1 1 GW <br /> JGW-2 . Z 2 GW • <br /> J TRIP BLANKS . at ;�S 2 <br /> MAI clients MUST disclose any dangerous cheminds knossn to be present in their submitted samples in concentrations that map cause immediate harm or serious future health endangemtent as a result of brief gloved,open air,sample handling b \1,11 staff, <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liabilityfor harm suffered.flank%ou for your understanding and for allowing us to work safety. <br /> *If metals are requested lir%Nater samples and the water t}pe(Matrix)is not specified on the chain of custody,MAI will default to metals by E200.8. Continents/Instruction; <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MS/MSD a I.CS/I-CSD will be prepared in its place and noted in the report. <br /> J cling isl d By/Company Name Date Time Received By/Company Name Date Time <br /> f!zL ; 7n <br /> v ��41 — 0 <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: 1=4°C 2=11CI 3=14,S0.1 4=1-INO, 5=Na01-I 6=7nOAc/NaOH 7=None Temp Initials <br /> Page kagEpO o 1 I <br />