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i <br /> General COC MAI Work Order# <br /> 9 ® McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Turn Around Time:I Day Rush 2 Day Rush 3 Day Rush iEP <br /> Telephone:(877)252-9262/Fax:(925)252-9269 1-Fl�For.mat: PDF <br /> ote# <br /> Cleanup Approved Dry Weightder# <br /> www.mccampbell.com main mccam bell.com DelGeoTrar ker EDF EDD CLIP EDReportTo: is Detect Smmary <br /> Company: Bill To: S/4,vt E u <br /> Anstulested <br /> =�5 alys Req <br /> Email: ALP4l+A-Eu V 2 (ry►eC.M <br /> Alt Email: Tele: <br /> Project Name: {,{-rte /Zq� Project#: $ �3 <br /> Project Location: PO 4 <br /> Sampler SignatE/Fie <br /> SAI Sampling s <br /> Locatiod ta Matrix Preservative <br /> Date Time t9 <br /> Jel— <br /> � � v <br /> � r v <br /> [uo � <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 handl <br /> Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank you for your understanding and for allowing us to work safely. ing by MAI stat} <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 LCSILCSD will be prepared in its place and noted in the report. Comments/Instructions <br /> Relinquishe any Name Date Time <br /> Received By I Company Name Date Time <br /> no <br /> Matrix Code:DW= rin ' g Wat ,GW=Ground Water,WW=Waste Water,SW=Seawater, S=Soil,SL=SIudge,A=Air,WP=Wipe,O—Other <br /> Preservative Code: 1�°C =HCl 3=H2SO4 4=HNO3 5�NaOH 6=ZnOAc/NaOH 7=None <br /> Temp � ,.4 Initials <br /> �Z7 //p /—Pag/16 of 17 <br />