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Ge <br /> neral COC MAI Work Order d' l 0 'q q 0 <br /> ' McCAMP$ELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O 1534 Willow Pass Rd.Pittsburg,Ca.94565-1 70 1 Tum around Time:I Day Rush 12 Day Rush 3 Day Rush STD Quote# <br /> Telephone:(877)252-9262/Fax:(925)252-9269 nitj/%IDL ESL Cleanup Approved Dry Weight Bottle Order# <br /> www.mccarnpbell.com main(&mccampbell.eom Delivery Format: PDf GeoTracker EDF EDD Write On(Dw) Detect Summary <br /> Report To: -ron /A&rjvi Bill To: -Co /,&r-4; t Analysis Requested <br /> Company: SSV- Prsjnci�12s L <br /> Email: 7�«>E� C�skasscc c kPS.C+��n ash <br /> Alt Email: Tele: 9►fp l�1l LL ,. <br /> Project Name: C"n kt or} I F45 Project#: ET.00 1(0 01 F <br /> Project Location: S}rot K to C& PO# cz,(V 16 c�F.0 n y•oo L 7 <br /> Sampler Signature: <br /> Sampling ti <br /> SAMPLE ID - <br /> Matrix Preservative p <br /> Location/Field Point Date Time V <br /> A <br /> 6- 7-2 C' 1t LJJ f 2Y ?JiS 8 Mcne_ 7+ <br /> Q -22C t 10I >` <br /> IR <br /> V3 _ <br /> B - -5 S ` 13y Z� <br /> (3- 2-3 e Jc' J 3 cry <br /> B— :,W iffy, <br /> - .2 Lf /t <br /> ro' <br /> NW clients MUST disclose any dangerous chemicals known to be present in their submitted sataples in concentrations that may cause immediate Kann 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 harm suffetcd.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. Comments Instructions <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 place and noted in the report. r''k'"",e,t 7.510- <br /> Relinquished By 1 Company Name Date Time Received By I Company Name Date Time <br /> Z :510 #10 <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil, =Sludge,A-Air,WP=Wipe,0--Other <br /> Preservative Code: 1=4'C 2=HCl 3=H,SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials <br /> Page I of 7J <br /> Page 76 of 80 <br />