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General COC <br /> <br />MAI Work Order ft \ Li A(5 2 o McCAMPBELL <br />1534 Winos Pass <br />.1111111/—..7\ --_,--.410, 'telephone: ISM-252 <br />www.mccampbell.com <br />Rd. Pittsburc. <br />ANALYTICAL, <br />')242 k-Fanct-(42-5*-252-9269 <br />INC. <br />Ca. 94565-1701 <br />inaiiviisnccampbell.com <br />CHAIN OF CUSTODY RECORD <br />tarn Around Time: I Day Rush 2 Day Rush . 3 Da. Rush I STD' Quote el <br />I , .1-1;rs,/ : '-n.:"'s '.'I.:,ap Approved '„ lil.:,ttl,2 Or.zicr , <br />Delivery Format: 11 IF lieu] racker EDI' EDI) Wr tc On (DWI Detect Summar!, <br />Report To: Daniel Kramer Bill To: Daniel Kramer Analysis Re 'nested <br />Compan. Petralogix Engineering DBCP (E524 3) -----, <br />.-- <br />0 <br />0 <br />ra <br />LU <br />Z <br />A <br />0 <br />Z Trip Blank 1 Email: dkramer@getralogix.com <br />Alt Email: tscheftner@petralogix.corn Tele: 209-400-5729 <br />Project Name: NLS/SSS Project , <br />Project Location: 1246 N Fine Road PO ft <br />Sampler Signature -7 :. , r-7,.D c. J-Ja4 4,, ,9 <br />SAMPLE ID <br />location I Field Point <br />Sampling <br />Nlatrix ['reser) run e <br />Date Time <br />Domestic Well 4 /19/2021 i a, . a 0 5 DVV K ,<,_ )C <br />MAI clients MUST disclose any dangerous chemical. known to Inc present in their 'ultimo d samples in concentrations Mai ma) e ruse immediate harm or seri ms fouire health endangeon or ilS a result i lintel. gloved open r i c sample handling I) NIAI ha <br />Non-disclosure incurs an immediate $2.50 soreharge and the client I. subject to full legal lo bility for harm offered. Thank trill ho st OW in Iliel Mil 'ding aid for allots io nun to corks rely <br />I I metals are requested for stater samples and the water rope (Nlairix) is not specified oti the chain of custody. MAI will delimit its itells Rs F200.8. Comments r Instructions <br />_ ,-. <br />Please provide an adequate volume of sample. If the volume is not suflieie it for a NIS/NISI) a LCSILCSD Will be prepared in its i'llaec al dltniit\d i yhe report. <br />Relinquished By / Company Name Date Time Received Ily.1/Compily *One I /ate Nile <br />L./ <br />.'&-.4(L's.1 r")61' \ _ L I 1 n lea ) 13 I 5-, 1. ---.;\,, ;k,/ \ 4\ k lt ---Tr-7--- -,,,, . Eill,r.64-14./- 7 t <br />li / \ \ <br />s ) <br />\n <br />Matrix Code: DW-Drinking Water, GW=Ground Water. WW=Waste Water, SW=Scawater. S=Soil, SL=Sludge, A=Air, WP=Wipe, 0-0ther <br />Preservative Code: I -4°C 2-1-1CI 3=H2S0.1 4=1-1NO0 5-Na0H 6=Zn0AciNa0I1 7-None <br />eillp 'C Initials <br />Page of <br />Page 10 of 11