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General COC MAI Work Order = / I ��✓V <br /> ® McCAMPBE L, INC. CHAIN OF CUSTODY RECORD <br /> OW1534 Willow 9 [i1701 Tum Around Time: I Day Ruishl 12 Day Rush 13 Day Rush • 1 STD I Quote <br /> O Telephone: (877) 252-9262 / Fax: (925) 252-9269 J-Flag / MOL ESLI I Cleanup Approved Dry weight Bottle Order # <br /> www.mecamobell.com main meeamobell.eom Delivery Format I PDFj • 1 GeoTacker EDFj I EDD I Write0n (DW) l I Detect Summary <br /> Report To: Dustin Drake Bill To: CVE Demolition, Inc. Analysis Requested <br /> Company: CVE Demolition, Inc. <br /> Address: 4263 N. Selland Ave. Fresno, Ca. 93722 <br /> Email' dustmd@cvecorp.com Tele: 559-222-1149 9 — ° — _ _ _ tot <br /> III <br /> Project Name: West Side Market Project #: D17124 - — — _ _ _ _ — ° r - we <br /> Project Location: 741 . Ca. 95375 PO ;'. D17124 c — _ — _ e — _ — <br /> Sampler Sign toIs <br /> SAMPLE ID Sampling = _ _ ;a O — ' _ '� _ — _ _ <br /> Matrix Presemuve =_ a re v c _ <br /> Location / Field Point Date Time = _ — = __ - <br /> € o — F � — <br /> D17124 - 1 12/12/19 10:30 am 1 S 7 • • _ — — y • • • r • G <br /> D17124 - 2 12/12/19 10:30 am I 1 S 7 • • • • • • <br /> D17124 - 3 12/12119110:30 am 1 1 S 7 • • • • • • <br /> D17124 - 4 12/12/19 10:30 am 1 S 7 • • • • • • <br /> MAI clients MUST disclose any dangerous chemicalsA oun to be present in their submitted simples in concentrations that may causer mediate harptal serious; rc health endangurmem as a result ofbdef. gloved. open air. sample handling by MAI staff, <br /> Nondisclosure incurs an immediate Sl surcharge and the client is subject to full legal liability for harm suffered Thank you for your <br /> underoandi and Tor allo ing us work safely. <br /> if metals me requested for water requested and the %vater type (Matrix) is not specified on the chain of custody. MAI % illdefault to fietals lbF24U, Comments f Instructions <br /> Please provide an adequate volume of ample If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its pla a oted i the ort. Please composite all 4 <br /> Reh quishedBy mpanyName Time Received om yN e te Time samples. <br /> 1DEEi l .Z <br /> Matrix Code: DW=Drinking Water, GW=Ground Water, W W=Waste Water. SW=Seawater, S=Soil. SL=Sludge, A=Air, WP=Wipe, O=Other <br /> Preservative Code: 1 =4°C 2=HCl 3=H,SO, 4=HN0; S=NaOH 6=ZnO.AcNaOH 7=None Temp °C Initials Til ' <br /> Paoc of� <br /> Page 33 of 34 <br />