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General COC MAI Work Order 4 ' 1275 <br /> McCAMPBE INC. CHAIN OF CUSTODY RECORD <br /> O 1534 Willow 1701 Tum Around Time: I Dag Rush 1 12 Day Rin;hl 13 Day Ruch • 1 S-MI I Quote ,`,' <br /> Telephone: (877) 252-9262 / Fax: (925) 252-9269 J-1clagJIVIDLI I ESLI I CleemupApptovcdl lDnrWeightl I Bottle Order .'= <br /> www.mccampbell.com maln0mccampbell.eom Delivery Format: I PDTJ • 1 GocTracker EDFJ I EDDI I Wriu: 0n (DW)J I Detect Summary <br /> Report To: Dustin Drake Bill To: CVE Demolition, Inc. Analysis Requested <br /> Company: CVE Demolition. Inc. fe <br /> Address: 4263 N. Selland Ave. Fresno, Ca. 93722 ' _ <br /> Email- dustind@avecorp.com Tele: 559-222-1149 _ _ <br /> 0 cc <br /> Project Name: west Side Market Project m: D17124 — = <br /> Ce <br /> Project Location: 74 c . Ca. 95376 PO '—` D17124Nc <br /> _ _ E <br /> Sampler Sign to a _ _ , e - _ = = e <br /> Sampling - - _ <br /> SAMPLE ID - Preservative - = x _ <br /> Matrix _ g - , _ _ _ <br /> Location i Field Point Date TimeV. <br /> _ <br /> r = = -_ _ _ _ ` ' - - - - e <br /> ES <br /> D17124 - 1 12/12/19 10:30 am 1 S 7 • • — — • • • s • — " <br /> D17124 - 2 12/12119 10:30 am 1 S 7 • • • • • • <br /> D17124 - 3 12/12/19 10:30 am 1 S 7 • • • • • • <br /> D17124 - 4 12/12119 10:30 am 1 S 7 • • • • • • <br /> MAI clients MUST disclose any dangermt's chemicals lauum to be present in their submitted sampledr <br /> s in concentrations at may cents: dia <br /> mete It m f rc health endangemtent as a result of brief. gloved. open aa, sample M1andling by MAI Raa. <br /> Non-disclosure incurs an immediate P surcharge and the client is subject to full I" liability for leisuffered <br /> - Than: you for your understands and(or alto m <br /> g us tm work sally. <br /> * If metals are requested for roarer ples and the waxer type (Matrix) is not spcci6ed on the chain of custody, MAI will default to flecals Comments / hssvuctions <br /> Please provide an adequate volume of1liample. If the volume is not sufficient fora MS/MSD a LCS/LCSD will be prepared in its pla coted the tort Please composite all 4 <br /> Reh quahed By mpang Name to Time Received om y Na a Date Time samples. <br /> I 1 q .2 <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 =40C 2=HCI 3=H,S0; 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp eC Initials T, l <br /> -�<n A .�• XPi 1�+%6'/r� �p l (�- <br /> Page of 1 <br /> Page 7 of 7 <br />