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cCampbell Analytical, Inc. <br />4 1534 Willow Pass Rd <br />Pittsburg, CA 94565-1701 <br />(925)252-9262 <br />CHAIN -OF -CUSTODY Page I of I <br />WorkOrder: 1112175 A ClientCode: NJMS <br />❑WaterTrax ❑WriteOn [-]EDF ❑ Excel ❑Fax SaEmail ❑HardCopy ❑ThirdParty ❑J -flag <br />Report to: <br />Bill to: <br />Requested TAT: <br />5 days <br />Alan McCutchen <br />Email: alan@njminc.com <br />Alan McCutchen <br />NJ McCutchen, Inc. <br />cc: curtis@njminc.com <br />NJ McCutchen, Inc. <br />Date Received: <br />12106/2011 <br />123 W. Sonora Street <br />PO: <br />123 W. Sonora Street <br />Date Add -On: <br />12/27/2011 <br />Stockton, CA 95203 <br />ProjectNo: Paint Chips & Grinding Dust Samples <br />Stockton, CA 95203 <br />Date Printed: <br />12/27/2011 <br />209-466-9704 FAX: <br />209-465-7718 <br />Requested Tests (See legend below) <br />Lab ID <br />Client ID <br />Matrix Collection Date <br />Holdl <br />1 2 3 I 4 5 6 <br />7 8 9 10 <br />11 12 <br />1112175-001 1 <br />Paint Chips <br />Solid 1 12/5/2011 14:00 <br />❑ I <br />A <br />1112175-002 1 <br />Grinding Dust <br />Solid 12/5/2011 14:00 <br />❑ <br />A <br />Test Legend: <br />1 1 TCLPMETALM 12 <br />61 171 <br />Jill 1 1121 <br />Comments: TCLPs added 12/27/11 5day per email <br />3 4 1 5 <br />8 1101 <br />Prepared by: Maria Venegas <br />NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made (Water samples are 30 days). <br />Hazardous samples will be returned to client or disposed of at client expense. <br />Page 3 of 5 <br />