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General C <br /> OC MAI Work Order# V' l`'' � q 0 q <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 Willow Pass Rd.Pittsburg,Ca.945654701 Tum Around Time:l Day Rush 12 Day Rush 3 Day Rushl STD Quote# <br /> Telephone:(877)252-9202/Fax:(925)252-9269 J-Flag I Df- EESL Cleanup Approved Dry weight Bottle Order# <br /> www.mccam[)bell.com mainAmecampbell.com Delivery Format: PDF GeoTracker EDF1 EDDI I W6tc On(DW) I Detect Sutttmary <br /> Report To: 'Ten Mcf-%:n Full To: 'Ton Mc(-)Ai) Analysis Requested <br /> Company: l3Sy- Nssi,;a�P-S <br /> Email: C '-S1=a5&-4--)25-Got-, <br /> Alt Email: Mangy' �atn n Cl-bsKAsS+=L;t.�°5 LtrYi Tale: �1 1 b S+ zi ZrZ <br /> Project Name: C1K n r F '?P4�N Project#: (7,-ot(po!F,vo°f- Cue q <br /> Project Location: PO# EZ 00 i 6 a j Da y-V o 7- <br /> Sampler Signature: - <br /> SAMPLE ID <br /> Sampling <br /> Matrix Preservative <br /> Location I Field Point Date Time <br /> 33-25 C t' a 1t� So0 5 Nc��e. <br /> 13• 74 e, t ' <br /> f3-zla 0-5` il5D <br /> 0 -y(o 010 <br /> $- 2� <br /> 6-27 <br /> AM clients MUST disclose any dangerous chemicals known to be present in their submitted sampics in concentrations that may cause immediate hann or smous future health endangerment as a result of brief,gloved,open air,sample handling by MAI staff, <br /> Non-disclosure incurs an immediate S250 surcharge and the client is subject to full legal Liability for harm suffered.Thank you for your understanding and for allowing us to work saftly. <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 I Instructions <br /> Please provide an adequate volume of sample.if the volume is not sufficient for a MSlMSD a LCSILCSD will be prepared in its place and noted in the report. �� ) S�e Q.+�✓F ^ <br /> Relinquished By/Company Name Date Time ReceivedAy I Company Name Date Time )a51e V-L <br /> G' MDL— <br /> Vill <br /> 2 <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil, =Sludge,A=Air,WP=Wipe,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 2 of 3 <br /> Page 77 of 80 <br />