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I <br /> General COC MAI Work Order-u <br /> 9 <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca,94565-1701 PDeliveryFornmal: <br /> Time: Day(tush 2 Day Rusts 3 Day Rush STD <br /> Telephone:(877)252-92621 Fax: 925 252-9269 Quote# <br /> ESL Cleanup Approved Dry Weight Bottle Order# <br /> www,mccam be][.com main mccampbell.corn PDF GeoTrackerEDF EDD <br /> Report To: iF&Wr�4t- "4 CLIP EDT(DW) Detect Summary <br /> Bill To: S�rit�t E A <br /> Company: �.S nalysis Requested <br /> Email: AL�H4ENu2 L �� <br /> Alt Email: .fele: <br /> Project Name: Project#: GES q3�S <br /> Project Location: PO# <br /> Sampler Signature: <br /> SANTL Sampling > Z <br /> a <br /> Location/Field Point Matrix Preservative <br /> Date Time <br /> d <br /> K <br /> l <br /> MAI clients re inc disclose any dangerous chemicals d the to be present in their submitted samples a 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 end the client is subject to fall legal liability for harm suffered.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 volu of safume i&not sufficient for a MSI MSD a LCS/LCSD will be prepared in its place and noted in the report. Comments 1 Instructions <br /> Rclinqui e /Company ame Date Time <br /> ceived By/Company Name Date Time <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,0--Other <br /> Preservative Code: 1=4°C 2=HCI 3=142SO4 4-14NO3 5=NaOH 6=ZnOAc/NaOH 7=None <br /> Temp itials <br /> ge16off7 <br />