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i <br /> General COC MAI Work order# <br /> 9 <br /> MCCAMPBELL ANALYTICAL, INC. CRAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass ltd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush2 Day Rush 3 Day Rush STD <br /> ® Telephone:(877)252-92621 Fax:(925)252-9269 .1-Flag/MDI Quote# <br /> s ESL Cleanup Approved DryWeight Bottle Order# <br /> www.mccampbell.com main@meca�pbel]corn Delivery Format: PbF GeoTracker EDF1 I EDD CLIP EDT <br /> Report To: �! Detect Summary <br /> Bill To: Analysis Requested <br /> Company: <br /> Email AtPdlA-5-t.f <br /> Alt Email: Tele: <br /> Project Name: #;OrkTle, Project#: q'3('5- <br /> Project <br /> sProject Location: PO# <br /> Sampler Signature: <br /> SAMPL Sampling s <br /> Location/F d Po Matrix Preservative <br /> Date Time <br /> 'z3 1 <br /> kc� v <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff. <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for hart sutrered.Thank you for your understanding and for allowing us to work safely. <br /> •If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will default to metals by E200.8. <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MSIMSD a LCS/LCSD will be prepared in its plaee and noted in the report. Comments/Instructions <br /> Relinquished a Date Time <br /> ReceivtSl BY I Company Name Date Time <br /> Matrix Code:DW= nkt Wate =Ground Water,WW=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,Other <br /> Preservative Code: l�4°C 2=HCI 3=H2SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None <br /> Temp .°C`initials <br /> ���� <br /> /,,,P 0,6 16 OS47 <br />